| Doctor Name: | DR. WILLIAM SHUFORD SLY |
| NPI Number: | 1346684263 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 26759 |
| Business Practice Address: | 1100 South Grand Blvd St Louis Universith School Of Medicine, Drc Rm 433 St Louis, MO - 63104 |
| Business Phone Number: | 3149779229 |
| Business Fax Number: | 3149779206 |
| Mailing Address: | 1100 South Grand Blvd Drc Rm 433, Department Of Biochemistry And Molelecular Biology, St. ST LOUIS |
| State: | MO |
| Postal Code: | 63104 |
| Phone Number: | 3149779229 |
| Fax Number: | 3148625860 |
| NPI Enumeration Date: | 04/22/2013 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 26759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |