MEDICARE: DR. ROBERT ELIOT ZIEGLER M.D.

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
1	207N00000X	Dermatology Physician	R8B33	MO

General Provider Information

NPI Number	:	1437153970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ELIOT ZIEGLER M.D.

Provider Business Mailing Address
First Line	:	7937 BIG BEND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-2703
Country	:	US
Telephone Number	:	314-962-4511
Fax Number	:	314-962-3431

Provider Business Practice Location Address
First Line	:	7937 BIG BEND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-2703
Country	:	US
Telephone Number	:	314-962-4511
Fax Number	:	314-962-3431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/25/2010

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