Andrew Carl Shore

NPI #1174028120 in Riverside, Missouri

Provider Information

NPI Number: 1174028120
Entity Type: Individual
Name: Andrew Carl Shore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Enumeration Date: Mar 29, 2018
Last Updated: Sep 8, 2022

Practice Location

Address: 2906 NW VIVION RD
City: Riverside
State: Missouri
ZIP Code: 64150-1502
Phone: (816) 599-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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