Individual
STEPHANIE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 565-1247
Mailing address
8130 ROXBURGH DR APT 2E, SAINT LOUIS, MO 63105-2435
(314) 565-1247
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
2020014035
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
04/18/2016
Last updated
06/25/2020
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