Individual
PAUL A ROBIOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 N NEW BALLAS RD, STE 270 W, SAINT LOUIS, MO 63195-2632
(314) 991-6969
(314) 997-6969
Mailing address
450 N NEW BALLAS RD, STE 270 W, SAINT LOUIS, MO 63195-2632
(314) 991-6969
(314) 997-6969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-091069
IL
207RC0000X
Cardiovascular Disease Physician
Primary
MO107826
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006013185
MEDICARE PROV ID AREA 99
MO
01
—
007012762
MEDICARE PROVIDER ID
MO
01
—
060053198
RR MEDICARE NUMBER
MO
01
—
CD6536
RR GROUP 01
MO
01
—
CI7050
RR GROUP 99
MO
Enumeration date
08/25/2005
Last updated
01/19/2016
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