Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Shoup

Individual provider Physician Assistant · NPI 1386795722

David Shoup is a Physician Assistant in Fort Leonard Wood, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-9602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2000175328 (MO)

Record details

NPI number1386795722
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2007
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

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