Mcdonough, Robert Clayton

Mcdonough, Robert Clayton is an individual health care provider with primary practice located at 1225 S Grand Blvd , Saint Louis MO 63104-1016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mcdonough, Robert Clayton can be contacted via phone (314) 977-4440.

Contact Information

Primary practice address
1225 S Grand Blvd Saint Louis MO 63104-1016
Phone: (314) 977-4440
Fax: (314) 977-1642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 1720074503 Missouri
Allopathic & Osteopathic Physicians / Urology 208800000X MD19054 Maine

Profile Details

NPI number 1720074503
LBN Legal business name Mcdonough, Robert Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720074503 NPPES
Iowa Other 19979 IOWA WELLMARK BCBS NUMBER

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