Individual
DR. ROSS WILLIAM SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6173
(314) 454-2412
Mailing address
1 CHILDRENS PL, C B 8116, SAINT LOUIS, MO 63110-1002
(314) 454-6173
(314) 454-2412
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
2000144173
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205020605
—
MO
Enumeration date
07/17/2006
Last updated
01/08/2010
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