Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | R9H42 | MO |
NPI | 1164533295 |
---|---|
Provider Name | Dr. Robert F. Onder |
First Address | Saint Louis, MO 63141-7051 |
Second Address | Saint Louis, MO 63141-7051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 18/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E34491 | (02) | MO |