Individual
NESTOR MICHAEL SHUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 390-1777
(636) 390-1778
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 390-1777
(636) 390-1778
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
103383
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124884
BLUE CROSS
MO
05
—
201607611
—
MO
05
—
205939705
—
MO
01
—
426403
HEALTHLINK
MO
01
—
930102033
RAILROAD MEDICARE
MO
01
—
947071631
MERCYHEALTH
MO
01
—
P00616022
RAILROAD MEDICARE
—
Enumeration date
06/13/2006
Last updated
01/23/2012
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