Individual
DR. SHAINA ROSE ECKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1044 N MASON RD, DIV SURG MIS, STE 320, SAINT LOUIS, MO 63141-6431
(314) 454-8877
(877) 991-4780
Mailing address
660 S EUCLID AVE, MSC 8109-0037-09, SAINT LOUIS, MO 63110-1010
(314) 454-7224
(877) 991-4780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2016014776
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034137
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/23/2008
Last updated
02/08/2023
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