DR. WILLIAM SHUFORD SLY


Address: 1100 South Grand Blvd, St Louis Universith School of Medicine, Drc Rm 433, St Louis, MO 63104
Phone: 3149779229

DR. WILLIAM SHUFORD SLY (NPI# 1346684263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346684263
Entity Type Individual
Full Name DR. WILLIAM SHUFORD SLY
Credential MD
Practice Address 1100 South Grand Blvd
St Louis Universith School of Medicine, Drc Rm 433
St Louis
MO 63104
Mailing Address 1100 South Grand Blvd Drc Rm 433
Department of Biochemistry and Molelecular Biology, St.
St Louis
MO 63104
Practice Telephone 3149779229
Practice Fax Number 3149779206
Mailing Telephone 3149779229
Mailing Fax Number 3148625860
Enumeration Date 2013-04-22
Last Update Date 2013-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 26759 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 1100 SOUTH GRAND BLVD
ST LOUIS UNIVERSITH SCHOOL OF MEDICINE, DRC RM 433
City ST LOUIS
State MO
Zip Code 63104

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1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1912462912 Thomas George Brett General Practice 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 2019-02-04
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1821579798 Healthy Schools Missouri LLC General Practice 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 2018-08-28
1902300825 Landmark Medical of Missouri PC General Practice 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 2018-03-23
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1093218224 Andrew Jason Doppelt General Practice 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 2018-03-14
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Competitor

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City ST LOUIS
Zip Code 63104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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