Robert W Brooker, MD
Pediatrics, Neonatal-Perinatal Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1134224934
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1134224934
- Entity type
- Individual (NPI-1)
- Name
- Robert W Brooker
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2006
- Certification date
- Feb 24, 2025
- Last updated
- Feb 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 2000165889 | MO | Yes |
| 208000000X | Pediatrics | 2000165889 | MO |
Practice location
1465 S Grand BlvdSaint Louis, MO 63104-1003
Phone 314-577-5663 · Fax 314-268-6410
Mailing address
1465 S Grand BlvdSaint Louis, MO 63104-1003
Phone 314-577-5663 · Fax 314-268-6410
Other practice locations
1021 Hitt St
Columbia, MO 65212-0001
Columbia, MO 65212-0001
Phone 573-882-2279 · Fax 573-884-5179
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