Individual
DR. JAIMIE TROYAL SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14825 N OUTER 40 RD, CHESTERFIELD, MO 63017-2119
(314) 336-2555
(636) 812-6163
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
20240009208
MO
208200000X
Plastic Surgery Physician
D72420
MD
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
20240009208
MO
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
D72420
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
20240009208
MO
Other
Enumeration date
06/04/2007
Last updated
07/15/2024
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