Individual
TARA DAWN SCHULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
(314) 768-8360
Mailing address
1300 S GEYER RD, KIRKWOOD, MO 63122-7112
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008018169
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699961656
—
MO
Enumeration date
09/24/2007
Last updated
07/24/2014
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