Individual
BENJAMIN CHASE SHULTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
621 S NEW BALLAS RD, CREVE COEUR, MO 63141-8232
(314) 251-6800
Mailing address
2301 MCBURNEY RD, CLIFTON SPRINGS, NY 14432-9761
(315) 759-3099
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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