Individual
DR. SHARI LEUWERKE NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1930 N BUSINESS ROUTE 5, UNIT 1A, CAMDENTON, MO 65020-2659
(573) 346-5624
(573) 346-1957
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007018574
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135570005
MEDICARE PTAN
MO
05
—
1548434384
—
MO
Enumeration date
04/14/2008
Last updated
07/23/2009
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