# DR. JAIMIE TROYAL SHORES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972705663
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | 20240009208 | MO | — |
| 208200000X | Plastic Surgery Physician | D72420 | MD | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 20240009208 | MO | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | D72420 | MD | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | 20240009208 | MO | — |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 07/15/2024