Individual
DR. RYAN GREGORY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1027675
MA
2085R0202X
Diagnostic Radiology Physician
Primary
2019013177
MO
2085R0202X
Diagnostic Radiology Physician
D0105985
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200068447
—
MO
Enumeration date
03/22/2013
Last updated
05/07/2026
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