Individual
DORIAN G SHIMOTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021030411
MO
208M00000X
Hospitalist Physician
036171772
IL
208M00000X
Hospitalist Physician
Primary
2021030411
MO
Other
Enumeration date
04/25/2018
Last updated
01/08/2025
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