Jason Shupe, D.o., an Osteopathic Corporation
NPI #1992366223 in San Dimas, California
Provider Information
- NPI Number
- 1992366223
- Entity Type
- Organization
- Organization Name
- Jason Shupe, D.o., an Osteopathic Corporation
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jun 26, 2019
- Last Updated
- Jun 26, 2019
Practice Location
- Address
- 554 E FOOTHILL BLVD STE 120
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-1222
- Phone
- (909) 248-3437
Authorized Official
- Name
- JASON SHUPE, DO
- Title
- CEO
- Phone
- (909) 248-3437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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