Organization
ARTURO C. TACA, JR., M.D. LLC
Active
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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