Individual
BRENT E SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10 HOSPITAL DR, SAINT PETERS, MO 63376-1659
(636) 916-9180
Mailing address
PO BOX 5, HAZELWOOD, MO 63042-0005
(314) 895-3828
(636) 922-5157
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2011011838
MO
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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