Provider Demographics
NPI:1366479180
Name:SHIELDS, MARGARET FOY (RD)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:FOY
Last Name:SHIELDS
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Gender:F
Credentials:RD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8127
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-747-7300
Mailing Address - Fax:314-747-7065
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV IM ENDOCRINOLOGY, STE 13B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-747-7300
Practice Address - Fax:888-869-4437
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2021-11-15
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Provider Licenses
StateLicense IDTaxonomies
MO2001018505133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO350961702Medicaid
MO815850183Medicaid
MO815850183Medicare PIN