Individual
PAUL ALTSHELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 N BALLAS RD # 203A, SAINT LOUIS, MO 63131-2322
(314) 739-3990
(314) 739-3924
Mailing address
PO BOX 1209, MARYLAND HEIGHTS, MO 63043-0209
(314) 739-3990
(314) 739-3924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7222
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201278512
—
MO
01
—
P00116104
MEDICARE RR#
MO
Enumeration date
12/13/2005
Last updated
04/19/2016
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