Individual
DR. ADAM WINSTON TAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 FIRST CAPITOL DRIVE, ST. CHARLES, MO 63301
(636) 947-5444
(636) 947-5259
Mailing address
220 COMPASS POINT DRIVE, ST CHARLES, MO 63301
(636) 947-4480
(636) 947-9860
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036127740
IL
2085R0202X
Diagnostic Radiology Physician
2012021368
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036027740
—
IL
05
—
209067503
—
MO
Enumeration date
05/03/2007
Last updated
10/03/2023
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