Search › Missouri › 363A00000X
Luke Shoulders, PA-C
NPI 1659895266 · on the registry since 2017
Practice
- Address
- 11445 Olive Blvd
Creve Coeur, MO 63141 - Phone
- (314) 428-9543
- Fax
- (314) 428-9542
- Clinicians at this address
- 7
Additional practice sites
- 210 Medical Pavilion Dr, Raeford, NC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NC, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-20
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