Provider Demographics
NPI:1457458879
Name:BELSHA, CRAIG W (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:W
Last Name:BELSHA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1465 S GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1003
Mailing Address - Country:US
Mailing Address - Phone:314-577-5662
Mailing Address - Fax:314-268-6449
Practice Address - Street 1:1465 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1003
Practice Address - Country:US
Practice Address - Phone:314-577-5662
Practice Address - Fax:314-268-6449
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO114867208000000X, 2080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics