Healthcare Provider Details

I. General information

NPI: 1891958187
Provider Name (Legal Business Name): ROBERT F. SCHWARZE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 07/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 GRAHAM RD BUILDING 2, SUITE 1110
FLORISSANT MO
63031-8028
US

IV. Provider business mailing address

1224 GRAHAM RD BUILDING 2, SUITE 1110
FLORISSANT MO
63031-8028
US

V. Phone/Fax

Practice location:
  • Phone: 314-831-2470
  • Fax: 314-831-9301
Mailing address:
  • Phone: 314-831-2470
  • Fax: 314-831-9301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberR9B32
License Number StateMO

VIII. Authorized Official

Name: DR. ROBERT F. SCHWARZE
Title or Position: PRESIDENT
Credential: D. O.
Phone: 314-831-2470