Individual
ROBERT W. TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6486
(314) 251-4155
Mailing address
621 S NEW BALLAS RD, SUITE 4006-B, SAINT LOUIS, MO 63141-8232
(314) 251-6486
(314) 251-4155
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R8849
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265599781
—
MO
05
—
203071204
—
MO
01
—
P00283057
RAILROAD MEDICARE
MO
Enumeration date
01/03/2007
Last updated
12/01/2014
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