Individual
MRS. SHERRI A SHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11125 DUNN RD STE 301, SAINT LOUIS, MO 63136-6132
(314) 953-8250
(314) 953-8255
Mailing address
11125 DUNN RD STE 301, SAINT LOUIS, MO 63136-6132
(314) 953-8250
(314) 953-8255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2001003706
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155706
BLUE CROSS BLUE SHIELD
MO
01
—
454077
HEALTHLINK
MO
01
—
7658344
AETNA
MO
Enumeration date
06/25/2006
Last updated
02/12/2021
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