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

Leslie Shock

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1649628439

Leslie Shock is a Plastic and Reconstructive Surgery Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

3220 Bluff Creek Dr
Columbia, MO 65201-3663
Phone: (573) 224-8200
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 2016017558 (MO)

Record details

NPI number1649628439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address3220 Bluff Creek Dr, Columbia, MO 65201-3663

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