Individual
PETER SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
660 SOUTH EUCLID AVENUE, MALLINCKRODT INSTITUTE OF RADIOLOGY, ST LOUIS, MO 63110
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2018017520
MO
2085R0204X
Vascular & Interventional Radiology Physician
MD61228615
WA
Other
Enumeration date
03/23/2016
Last updated
06/04/2024
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