Individual
DR. SHANNON MARIE DEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 FOREST PARK AVE, DIV IM PALLIATIVE MED, STE 5G, SAINT LOUIS, MO 63108-2114
(314) 362-7179
(314) 940-6451
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7179
(314) 940-6451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021038278
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2021038278
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200102798
—
MO
Enumeration date
04/20/2015
Last updated
04/17/2025
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