Search › Missouri › 374U00000X
Bridget Shade, PARTNER
NPI 1225694912 · on the registry since 2019
Practice
- Address
- 6546 Hancock Ave
Saint Louis, MO 63139 - Phone
- (314) 800-7213
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 374U00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri