Individual
DR. MARY SHAUGHNESSY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4488 FOREST PARK AVE, STE 230, SAINT LOUIS, MO 63108-2283
(314) 535-7855
(314) 534-2803
Mailing address
PO BOX 7412021, CHICAGO, IL 60674-2021
(314) 535-7855
(314) 534-2803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2006006810
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200968204
—
MO
Enumeration date
06/26/2006
Last updated
04/18/2025
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