Individual
SHAUN CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
621 S NEW BALLAS RD STE 63B, SAINT LOUIS, MO 63141-8251
(314) 966-0111
Mailing address
621 S NEW BALLAS RD STE 63B, SAINT LOUIS, MO 63141-8251
(314) 966-0111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
177178
OR
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
2022035735
MO
Other
Enumeration date
04/18/2016
Last updated
09/13/2022
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