Organization
ARTURO C. TACA, JR., M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTURO CALVO TACA JR. MD (MANAGER)
(314) 259-1531
Entity
Organization
Contact information
Practice address
11477 OLDE CABIN RD, SUITE 210, CREVE COEUR, MO 63141
(314) 997-5208
(314) 997-5368
Mailing address
1407 BOBOLINK PL, BRENTWOOD, MO 63144-1128
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2006024384
MO
Other
Enumeration date
10/05/2006
Last updated
02/17/2015
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