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General NPI Number Information
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NPI Number | 1659367803
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Entity Type | Individual
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Provider Name | SHARON GAIL MCDONALD M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3844 S LINDBERGH BLVD SUITE 240
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City | SUNSET HILLS
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State | MO
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Zip | 63127-1368
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Country | US
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Telephone | 314-842-6630
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Fax | 314-842-7543
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Provider Business Mailing Address
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Address Line | 3844 S LINDBERGH BLVD SUITE 240
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City | SUNSET HILLS
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State | MO
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Zip | 63127-1368
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Country | US
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Telephone | 314-842-6630
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Fax | 314-842-7543
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | R7853
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License Number State | MO
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