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Organization

PULMONARY & CRITICAL CARE MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY SHEN MD (DELEGATED OFFICIAL)
(314) 569-2680
Entity
Organization

Contact information

Practice address
3009 N BALLAS RD, SUITE 251C, SAINT LOUIS, MO 63131-2322
(314) 569-2680
(314) 569-1140
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 989-0300

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
R4F93
MO
207RP1001X
Pulmonary Disease Physician
Primary
R5H59
MO

Other

Enumeration date
01/30/2006
Last updated
11/13/2007
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