Individual
DR. ROBERT LAZELL WHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV NEUROLOGY MOVEMENT DISORDERS, STE 6C, SAINT LOUIS, MO 63110-1032
(314) 362-1408
(314) 747-3258
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 362-1408
(314) 747-3258
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2021042891
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103173
—
MO
Enumeration date
11/03/2008
Last updated
04/30/2024
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