Provider Demographics
NPI:1548296452
Name:SHIELDS, STEVEN MILLER (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MILLER
Last Name:SHIELDS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:222 S WOODS MILL RD
Mailing Address - Street 2:SUITE 660N
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3625
Mailing Address - Country:US
Mailing Address - Phone:314-878-9902
Mailing Address - Fax:314-878-5112
Practice Address - Street 1:222 S WOODS MILL RD
Practice Address - Street 2:SUITE 660N
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3625
Practice Address - Country:US
Practice Address - Phone:314-878-9902
Practice Address - Fax:314-878-5112
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2017-03-08
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Provider Licenses
StateLicense IDTaxonomies
MOR6N12207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202948105Medicaid
MO202948105Medicaid
MOE55711Medicare UPIN