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NPI Code Detail

MEDICARE: ROBERT SHEARING MD

MEDICARE: ROBERT SHEARING MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician2011040567MO

General Provider Information

NPI Number : 1619906088
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT SHEARING MD
Provider Business Mailing Address
First Line : 83 PROGRESS PKWY
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3701
Country : US
Telephone Number : 314-434-2233
Fax Number :
Provider Business Practice Location Address
First Line : 83 PROGRESS PKWY
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3701
Country : US
Telephone Number : 314-434-2233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 12/11/2013

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