person
Jeffrey E Shook, DPM
Foot & Ankle Surgery Podiatrist in Logan, West Virginia
NPI 1346207487

Jeffrey E Shook is a Foot & Ankle Surgery Podiatrist based in Gallipolis, WV and is specialized in Foot & Ankle Surgery. Jeffrey E Shook practices in Logan, WV and has the professional credentials of DPM. The NPI Number for Jeffrey E Shook is 1346207487 and holds a License No. 00315 (West Virginia).

The current practice location address for Jeffrey E Shook is 20 Hospital Dr, Logan, WV and can be reached out via phone at 304-831-1530 and via fax at 304-831-1527. You can also correspond with Jeffrey E Shook through the mailing address at 90 JACKSON PIKE, GALLIPOLIS, OH - 45631-1560 (mailing address contact number: 740-446-5890).

Location: 20 Hospital Dr, Logan, WV, 45631-1560
person
Provider Profile Details
NPI Number
1346207487
Provider Name
Jeffrey E Shook
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
20 Hospital Dr, Logan, WV, 45631-1560
Phone Number
304-831-1530
Fax Number
304-831-1527
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00787217 01 OH RAILROAD MEDICARE
0227678 05 OH
310917085188 01 OH OH MEDICAID CARESOURCE
0227678 01 OH OH MEDICAID MOLINA
000000264924 01 OH MEDICAID UNISON
6420018000 05 WV
institution
Provider Business Practice Location Address Details
Address
20 Hospital Dr
City
State
Zip
25601-3452
Phone Number
304-831-1530
Fax Number
304-831-1527
person
Provider Business Mailing Address Details
Address
20 Hospital Dr
City
State
Zip
25601-3452
Phone Number
304-831-1530
Fax Number
304-831-1527
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00315 (West Virginia)
Definition
Definition to come...
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