Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert D. Tague MD PC

Organization Primary Care Clinic/Center · NPI 1679760904

Robert D. Tague MD PC is a Primary Care Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10004 Kennerly Rd
Saint Louis, MO 63128-2141
Phone: (314) 543-5969
Fax: (314) 543-5972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence R8E10 (MO)

Record details

NPI number1679760904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tague — Owner · (314) 543-5969
NPI enumeratedOctober 1, 2007
Last updated in NPPESJuly 2, 2015
Mailing address10004 Kennerly Rd, Suite 186b, Saint Louis, MO 63128-2141

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