| Valerie T Taca Md Llc | |
|
228 Carlyle Lake Dr Creve Coeur MO 63141-7544 | |
| (314) 222-3737 | |
| Not Available |
| Full Name | Valerie T Taca Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 228 Carlyle Lake Dr, Creve Coeur, Missouri |
| Authorized Official Name and Position | Valerie T Taca (OWNER) |
| Authorized Official Contact | 3142223737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valerie T Taca Md Llc 228 Carlyle Lake Dr Creve Coeur MO 63141-7544 Ph: (314) 222-3737 | Valerie T Taca Md Llc 228 Carlyle Lake Dr Creve Coeur MO 63141-7544 Ph: (314) 222-3737 |
| NPI Number | 1669772828 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669772828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2010035683 (Missouri) | Primary |
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