Individual
KARL TAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
969 N MASON RD STE 145A, SAINT LOUIS, MO 63141-6282
(314) 996-3432
Mailing address
969 N MASON RD STE 145A, SAINT LOUIS, MO 63141-6282
(314) 996-3432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011009299
MO
Other
Enumeration date
07/30/2009
Last updated
04/05/2022
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