Organization
ROBERT D. TAGUE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D TAGUE M.D. (OWNER)
(314) 543-5969
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, SAINT LOUIS, MO 63128-2141
(314) 543-5969
(314) 543-5972
Mailing address
10004 KENNERLY RD, SUITE 186B, SAINT LOUIS, MO 63128-2141
(314) 543-5969
(314) 543-5972
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R8E10
MO
Other
Enumeration date
10/01/2007
Last updated
07/02/2015
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