Individual
ROBERT CLAYTON MCDONOUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-4440
(314) 977-1642
Mailing address
1008 S. SPRING AVE, SLUCARE ACADEMIC PAVILION, ST. LOUIS, MO 63110
(314) 977-3470
(314) 977-1642
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1720074503
MO
208800000X
Urology Physician
MD19054
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19979
IOWA WELLMARK BCBS NUMBER
IA
Enumeration date
09/27/2005
Last updated
02/02/2021
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