SearchMissouri235Z00000X

Vicki Shoemaker

NPI 1841570355 · on the registry since 2011 · sole proprietor

Practice

Address
1230 Tom Ginnever Ave
O Fallon, MO 63366
Phone
(636) 240-2072
Fax
(636) 980-1946
Clinicians at this address
5

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-29

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