Individual
DR. NICHOLAS PETER TARASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
(314) 653-5648
Mailing address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5643
(314) 653-5648
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01070118A
IN
208M00000X
Hospitalist Physician
Primary
2009022391
MO
Other
Enumeration date
03/26/2007
Last updated
02/28/2021
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