Provider Demographics
NPI:1730167784
Name:SHOOK, MARY A (MD)
Entity type:Individual
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First Name:MARY
Middle Name:A
Last Name:SHOOK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:405 SW 5TH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-4600
Mailing Address - Country:US
Mailing Address - Phone:515-358-5950
Mailing Address - Fax:515-358-5951
Practice Address - Street 1:1055 JORDAN CREEK PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5821
Practice Address - Country:US
Practice Address - Phone:515-358-5450
Practice Address - Fax:515-358-5951
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2016-10-27
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Provider Licenses
StateLicense IDTaxonomies
IA364352083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine