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Jason Shore, DO
Diagnostic Radiology Physician in Hampton, Virginia
NPI 1982066585

Jason Shore is a Diagnostic Radiology Physician based in Hampton, VA and is specialized in Diagnostic Radiology. Jason Shore practices in Hampton, VA and has the professional credentials of DO. The NPI Number for Jason Shore is 1982066585 and holds a License No. 1749 (Virginia).

The current practice location address for Jason Shore is 77 Nealy Ave, Hampton, VA and can be reached out via phone at 757-225-7630. You can also correspond with Jason Shore through the mailing address at 77 NEALY AVE, HAMPTON, VA - 23665-2040 (mailing address contact number: ).

Location: 77 Nealy Ave, Hampton, VA, 23665-2040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982066585
Provider Name
Jason Shore
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
77 Nealy Ave, Hampton, VA, 23665-2040
Phone Number
757-225-7630
Fax Number
Provider Enumeration Date
03/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
77 Nealy Ave
City
Hampton
State
Virginia
Zip
23665-2040
Phone Number
757-225-7630
Fax Number
person
Provider Business Mailing Address Details
Address
77 Nealy Ave
City
Hampton
State
Virginia
Zip
23665-2040
Phone Number
757-225-7630
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
1749 (Nebraska)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
1749 (Nebraska)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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