Individual
GORDON H. ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1170 OLD BALLAS ROAD, SUITE 110, ST. LOUIS, MO 63141
(314) 567-1958
(314) 567-0037
Mailing address
11710 OLD BALLAS RD, STE 110, CREVE COEUR, MO 63141-7076
(314) 567-5000
(314) 567-3110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD100250
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105460
BLUE CROSS BLUE SHIELD
MO
01
—
229025
HEALTHLINK
MO
01
—
260029804
RR MEDICARE
MO
Enumeration date
08/31/2006
Last updated
06/22/2016
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