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Individual

SHAWN MICHAEL WHITTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
UNIVERSITY HOSPITAL & CLINICS, ONE HOSPITAL DRIVE, DC047.00, COLUMBIA, MO 65212-0001
(573) 882-2260
(573) 884-4249
Mailing address
1 HOSPITAL DR # DC047.00, COLUMBIA, MO 65212-0001
(573) 882-2260
(573) 884-4249

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2011020511
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100059224
WI
01
2011020511
MO TEMP LICENSE
MO
Enumeration date
08/01/2011
Last updated
10/23/2025
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