Individual
MR. LUKE ANDREW SHOULDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11445 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 428-9543
(314) 428-9542
Mailing address
11445 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 428-9543
(314) 428-9542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-07313
NC
363A00000X
Physician Assistant
Primary
2019037194
MO
Other
Enumeration date
07/26/2017
Last updated
11/20/2019
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