Individual
SHILPA S. THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5535 DELMAR BLVD, STE 509, SAINT LOUIS, MO 63112-3005
(314) 367-7077
(314) 361-1528
Mailing address
5535 DELMAR BLVD, STE 509, SAINT LOUIS, MO 63112-3005
(314) 367-7077
(314) 361-1528
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
108079
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209778109
—
MO
Enumeration date
11/16/2005
Last updated
08/16/2013
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