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NPI Code Detail

MEDICARE: ROBERT TAXMAN MD

MEDICARE: ROBERT TAXMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician29657MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336321199
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT TAXMAN MD
Provider Business Mailing Address
First Line : 1717 BIDDLE ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63106-3454
Country : US
Telephone Number : 314-898-1700
Fax Number : 314-814-8542
Provider Business Practice Location Address
First Line : 4414 N FLORISSANT AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63107-1812
Country : US
Telephone Number : 314-898-1700
Fax Number : 314-814-8542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2007
Last Update Date : 09/13/2016

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Directions to “ ROBERT TAXMAN MD” Practice Location

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