LESLIE SHOCK

Surgery - Plastic and Reconstructive Surgery

Active Individual
NPI: 1649628439

Practice Address

3220 BLUFF CREEK DR
Columbia, MO 65201

Phone: (573) 224-8200

Specialties

Specialty Code Primary License
Surgery - Plastic and Reconstructive Surgery 2086S0122X Yes 2016017558 (MO)

Frequently Asked Questions

NPI 1649628439 is the National Provider Identifier for LESLIE SHOCK, a Surgery - Plastic and Reconstructive Surgery provider located in Columbia, MO. This NPI was enumerated on June 2, 2016.
LESLIE SHOCK practices at 3220 BLUFF CREEK DR, Columbia, MO 65201.

Quick Facts

NPI
1649628439
Type
Individual
Enumerated
Jun 2, 2016
Last Updated
Apr 3, 2023

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