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Leslie Shock
Plastic and Reconstructive Surgery Physician in Columbia, Missouri
NPI 1649628439

Leslie Shock is a Plastic and Reconstructive Surgery Physician based in Columbia, MO and is specialized in Plastic and Reconstructive Surgery. Leslie Shock practices in Columbia, MO. The NPI Number for Leslie Shock is 1649628439 and holds a License No. 2016017558 (Missouri).

The current practice location address for Leslie Shock is 3220 Bluff Creek Dr, Columbia, MO and can be reached out via phone at 573-224-8200. You can also correspond with Leslie Shock through the mailing address at 3220 BLUFF CREEK DR, COLUMBIA, MO - 65201-3663 (mailing address contact number: 573-224-8200).

Location: 3220 Bluff Creek Dr, Columbia, MO, 65201-3663
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Provider Profile Details
NPI Number
1649628439
Provider Name
Leslie Shock
Credential
Provider Entity Type
Individual
Gender
Female
Address
3220 Bluff Creek Dr, Columbia, MO, 65201-3663
Phone Number
573-224-8200
Fax Number
Provider Enumeration Date
06/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053046888 01 ORGANIZATION NPI
institution
Provider Business Practice Location Address Details
Address
3220 Bluff Creek Dr
City
State
Zip
65201-3663
Phone Number
573-224-8200
Fax Number
person
Provider Business Mailing Address Details
Address
3220 Bluff Creek Dr
City
State
Zip
65201-3663
Phone Number
573-224-8200
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
2016017558 (Missouri)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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