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Individual

DR. SHELAH RADKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., J.D.

Contact information

Practice address
970 EXECUTIVE PARKWAY DR, SAINT LOUIS, MO 63141
(314) 628-6540
Mailing address
970 EXECUTIVE PARKWAY DR, SAINT LOUIS, MO 63141-6302
(314) 628-6540

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
14419 (57.0) MD
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2019014043
MO
2084P0804X
Child & Adolescent Psychiatry Physician
35.122835
OH

Other

Enumeration date
10/28/2008
Last updated
09/05/2019
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