Organization
ELITE MENS HEALTH OF ST LOUIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TAYLOR (OWNER)
(870) 761-5532
Entity
Organization
Contact information
Practice address
777 CRAIG RD, 225, SAINT LOUIS, MO 63141-7138
(870) 761-5532
Mailing address
1512 HIGHWAY 67 S, SUITE E, POCAHONTAS, AR 72455-4001
(870) 761-5532
(870) 892-3004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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