Individual
WHITNEY SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13861 MANCHESTER RD, BALLWIN, MO 63011-4503
(636) 220-9333
Mailing address
5700 HIGHLANDS PLAZA DR APT 1028, SAINT LOUIS, MO 63110-1309
(620) 249-2813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023006214
MO
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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