Individual
DR. PAUL J SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 DEPAUL DRIVE, SUITE 830, BRIDGETON, MO 63044
(314) 291-6556
(314) 291-0984
Mailing address
12255 DEPAUL DRIVE, SUITE 830, BRIDGETON, MO 63044
(314) 291-6556
(314) 291-0984
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
R8A26
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30173
BLUE CROSS BLUE SHIELD
MO
Enumeration date
10/07/2005
Last updated
02/19/2008
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