Individual
MR. SHEBY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-S
Contact information
Practice address
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 386-7679
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2017
Last updated
05/26/2021
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