Organization
JASON SHUPE, D.O., AN OSTEOPATHIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SHUPE DO (CEO)
(909) 248-3437
Entity
Organization
Contact information
Practice address
554 E FOOTHILL BLVD STE 120, SAN DIMAS, CA 91773-1222
(909) 248-3437
(844) 380-6565
Mailing address
554 E FOOTHILL BLVD STE 120, SAN DIMAS, CA 91773-1222
(909) 248-3437
(844) 380-6565
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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