Individual
JOEL D SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 821-5850
Mailing address
12006 SOUTHWICK DR, SAINT LOUIS, MO 63128-1725
(314) 821-1256
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100699
MO
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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