Individual
SHIRLEY N OKWUASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Mailing address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015014965
MO
207R00000X
Internal Medicine Physician
Q4661
TX
208000000X
Pediatrics Physician
2015014965
MO
208000000X
Pediatrics Physician
Q4661
TX
Other
Enumeration date
04/08/2011
Last updated
03/15/2017
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