Individual
JAMES RAYMOND PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10345 WATSON RD, ST LOUIS, MO 63127
(314) 965-6033
(314) 965-6067
Mailing address
10345 WATSON RD, ST LOUIS, MO 63127
(314) 965-6033
(314) 965-6067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3J87
MO
207QA0505X
Adult Medicine Physician
R3J87
MO
207V00000X
Obstetrics & Gynecology Physician
R3J87
MO
207VG0400X
Gynecology Physician
R3J87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5790
MEDICARE NUMBER 5790
MO
Enumeration date
08/31/2006
Last updated
02/24/2025
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