Individual
DR. ROBERT JAMES PROFUMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1308 WESTCHESTER MANOR LN, CHESTERFIELD, MO 63005-4355
(314) 432-9270
(314) 432-9271
Mailing address
1308 WESTCHESTER MANOR LN, CHESTERFIELD, MO 63005-4355
(314) 432-9270
(314) 432-9271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R5N74
MO
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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