Individual
TARA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL MSC 8116-0043-08, SAINT LOUIS, MO 63110-1002
(314) 454-4826
(314) 454-4633
Mailing address
1 CHILDRENS PL MSC 8116-0043-08, SAINT LOUIS, MO 63110-1002
(314) 454-4826
(314) 454-4633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022025493
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
103288
GA
Other
Enumeration date
03/31/2019
Last updated
02/24/2025
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