David D Shupe, MD

NPI #1306819115 in Moscow, Idaho

Provider Information

NPI Number: 1306819115
Entity Type: Individual
Name: David D Shupe, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Feb 10, 2006
Last Updated: Oct 4, 2007

Practice Location

Address: 623 S MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843-2983
Phone: (208) 882-2011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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