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Individual

DR. JASON A SHANKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
615 S NEW BALLAS RD, DEPARTMENT OF EMERGENCY MEDICINE, SAINT LOUIS, MO 63141-8221
(314) 251-6816
Mailing address
PO BOX 502852, SAINT LOUIS, MO 63150-2852
(314) 364-4200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014029117
MO
207P00000X
Emergency Medicine Physician
BP10033822
TX

Other

Enumeration date
08/08/2011
Last updated
10/23/2014
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