Individual
DR. CHAD CONRAD SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 MEXICO RD STE 101, SAINT PETERS, MO 63376-1666
(636) 442-5035
(636) 442-5036
Mailing address
4800 MEXICO RD STE 101, SAINT PETERS, MO 63376-1666
(636) 442-5035
(636) 442-5036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006018031
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2006018031
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205456502
—
MO
Enumeration date
07/07/2006
Last updated
10/11/2022
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