Linda Tackes M.D.

NPI 1003848425 - Pediatrics - 208000000X

NPI Details
NPI 1003848425
Gender Female
Enumeration Date 07/07/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4116 VON TALGE RD
SAINT LOUIS MO, 63128-1957, US
Phone (314) 815-3331
Fax (314) 815-3703
Business Location
7980 CLAYTON RD
SUITE 202
SAINT LOUIS MO, 63117-1354, US
Phone (314) 951-5368
Fax (314) 951-5238
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 103626
Remove 1003848425 NPI Number
 

According to our database, Linda Tackes M.D. NPI is 1003848425, taxonomy code is 208000000X and license number is 103626, license state is located at Missouri. Linda Tackes M.D. physically located at 4116 Von Talge Rd, Saint Louis MO, 63128-1957. NPI Number Linda Tackes M.D. has the Individual type.

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1003848425 NPI number is provided on an as is basis without warranty of any kind. 1003848425 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Tackes M.D. are for informational purposes only.