Individual
SHANNON EJIOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5200
(915) 215-8640
Mailing address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020018976
MO
207RN0300X
Nephrology Physician
2023020723
MO
207RN0300X
Nephrology Physician
Primary
W0562
TX
Other
Enumeration date
06/29/2020
Last updated
10/02/2025
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