Shane A Grace, MD

NPI #1033527684 in Saint Louis, Missouri

Provider Information

NPI Number: 1033527684
Entity Type: Individual
Name: Shane A Grace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jul 28, 2014
Last Updated: May 5, 2023

Practice Location

Address: 12855 N 40 DR STE 180
City: Saint Louis
State: Missouri
ZIP Code: 63141-8657
Phone: (314) 878-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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