| Doctor Name: | DAVID GEORGE SHORT |
| NPI Number: | 1134184153 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 02001212A |
| Business Practice Address: | 1025 Michigan Avenue Suite 215 Logansport, IN - 469471594 |
| Business Phone Number: | 5747532222 |
| Business Fax Number: | 5747530522 |
| Mailing Address: | 1025 Michigan Avenue, Suite 215 LOGANSPORT |
| State: | IN |
| Postal Code: | 469471594 |
| Phone Number: | 5747532222 |
| Fax Number: | 5747530522 |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 02001212A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |