ROBERT D. TAGUE MD PC
Ambulatory Health at Kennerly Rd, Saint Louis, MO

License number
Missouri R8E10
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ROBERT D TAGUE M.D.
Title: OWNER
Phone: (314) 543-5969
Address
Address
10004 Kennerly Rd, Saint Louis, MO 63128
National Provider ID: 1679760904
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT D. TAGUE, M.D., PC

3350 Greenwood Blvd, Saint Louis, MO 63143

Registration:
Aug 17, 1995
State ID:
P00415250
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Sean P. O'gorman,3350 Greenwood Blvd, Saint Louis, MO 63143 (Physical)

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