Individual provider · Type 1 NPI

Shane Dylan Strom

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1922696590 Active

Practice location

3437 Caroline St
St. Louis, MO 63104-1111

Call (314) 977-2570 Map

Mailing address

5641 N Magnolia Ave
St. Louis, MO 63139-1639

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922696590

Shane Dylan Strom's National Provider Identifier is 1922696590, issued on Jan 8, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 8, 2021.