Shane Gleaves, PA-C

NPI 1538897392 · on the registry since 2022

Practice

Address: 201 Bjc Saint Peters Dr Ste 200
Saint Peters, MO 63376
Phone: (636) 916-9615
Organisation at this address: Boonslick Medical Group Inc
Forefront Dermatology, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-10-03

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