Individual
ANTHONY SHEPHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8442
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128605
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431692918
—
IL
05
—
918934316
—
MO
Enumeration date
01/11/2006
Last updated
11/05/2021
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