Organization · Type 2 NPI

Robert D. Tague MD PC

Primary Care Clinic/Center · St. Louis, MO

NPI number 1679760904 Active

Practice location

10004 Kennerly Rd
St. Louis, MO 63128-2141

Fax (314) 543-5972

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XR8E10 (MO)

Primary Care Clinic/Center: Definition to come...

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About NPI 1679760904

Robert D. Tague MD PC's National Provider Identifier is 1679760904, issued on Oct 1, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Louis, MO. The record was last updated on Jul 2, 2015.