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Individual

PAUL W. SHEFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12255 DEPAUL DRIVE, SUITE 500, BRIDGETON, MO 63044-2510
(314) 567-5000
(314) 567-3110
Mailing address
11477 OLDE CABIN ROAD, SUITE 200, SAINT LOUIS, MO 63141-7137
(314) 567-5000
(314) 567-3110

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R8007
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116683
HEALTHLINK
MO
05
201038031
MO
01
260049227
RR MEDICARE
MO
Enumeration date
08/30/2006
Last updated
05/27/2011
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