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Individual

DR. ROBERT P MARGOLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12266 DE PAUL DR STE 100, BRIDGETON, MO 63044-2541
(314) 738-2770
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036060396
IL
2084N0400X
Neurology Physician
Primary
R3A30
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028347508802
IL
05
201331709
MO
Enumeration date
12/28/2005
Last updated
11/05/2020
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