Individual
DR. SHAPING SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7036
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7036
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
2004011146
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043675309
BUSINESS NPI
MO
01
—
1588704423
PERSONAL NPI
MO
Enumeration date
02/08/2007
Last updated
08/29/2019
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