Individual
ROBERT RYERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
1715 DEER TRACKS TRL, SUITE 130, SAINT LOUIS, MO 63131-1839
(314) 821-5600
(314) 821-2180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
105614
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203812714
—
MO
Enumeration date
07/17/2006
Last updated
12/12/2025
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