DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID SHOUP

Active

DAVID SHOUP is a Physician Assistant healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1386795722 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT LEONARD WOOD, MO

Registration Details

NPI Number
1386795722
Provider Type
Individual
Gender
Male
NPI Issued
Jan 14, 2007 (19.576187704029 yrs)
Last Updated
Mar 22, 2023
License
2000175328 (MO)

Practice Information

Address
4430 MISSOURI AVE
FORT LEONARD WOOD, MO, 654739098
Browse MO providers · Browse ZIP 65473
Phone
5735969602
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT LEONARD WOOD, MO

Name Credential NPI
MR. THOMAS HOUSTON HUME II PA-C MPAS 1336138643
MR. GARY DALE NICHOLS P.A.-C 1437140357
TOBEN LYBARGER PHYSICIAN ASSISTANT 1114908795
MRS. LAURIE ANNE MOORE P.A. 1295713246
MR. DAVID EUGENE MULLIES PA-C 1841263092
TROY VINCENT VAUGHN PA-C 1972569739
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.