SearchMissouri101YP2500X

Surilla Shaw

NPI 1275998965 · on the registry since 2015

Practice

Address
9481 Yorktown Dr
Saint Louis, MO 63137
Phone
(314) 437-9028

Additional practice sites

  • 1430 Olive St Ste 400, Saint Louis, MO

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-06

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