Doctor Name: | ROBERT SHEARING |
NPI Number: | 1619906088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2011040567 |
Business Practice Address: | 83 Progress Pkwy Maryland Heights, MO - 630433701 |
Business Phone Number: | 3144342233 |
Business Fax Number: | |
Mailing Address: | 83 Progress Pkwy, MARYLAND HEIGHTS |
State: | MO |
Postal Code: | 630433701 |
Phone Number: | 3144342233 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2011040567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |