Individual
DR. LATANYA C TUNSTALL-ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5615 PERSHING AVE, SUITE 26, SAINT LOUIS, MO 63112-1757
(314) 361-0477
(314) 361-3771
Mailing address
4579 LACLEDE AVE, 343, SAINT LOUIS, MO 63108-2103
(314) 361-0477
(314) 361-3771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35725
MO
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036-058285
IL
Other
Enumeration date
02/16/2007
Last updated
10/09/2015
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