Shane Michael Gleaves, PA-C
NPI #1538897392 in Saint Peters, Missouri
Provider Information
- NPI Number
- 1538897392
- Entity Type
- Individual
- Name
- Shane Michael Gleaves, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 10, 2022
- Last Updated
- Oct 3, 2022
Practice Location
- Address
- 201 BJC SAINT PETERS DR STE 200
- City
- Saint Peters
- State
- Missouri
- ZIP Code
- 63376-3386
- Phone
- (636) 916-9615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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