Individual provider · Type 1 NPI

Micheal Haydon Shrum, PA

Physician Assistant · St. Louis, MO

NPI number 1417546193 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Mailing address

705 Wild Horse Creek Dr
Fairview Heights, IL 62208-2047

Other practice locations

  • 3437 Caroline St # 3082, St. Louis, MO 63104-1111 · (314) 977-8644

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2022033888 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417546193

Micheal Haydon Shrum, PA's National Provider Identifier is 1417546193, issued on Jan 15, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 8, 2022.