Doctor Name: | MR. ROBERT F LADOVE |
NPI Number: | 1811076052 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 916 Talon Dr Suite 102 O Fallon, IL - 622691848 |
Business Phone Number: | 6186288211 |
Business Fax Number: | 6186280883 |
Mailing Address: | 916 Talon Dr, Suite 102 O FALLON |
State: | IL |
Postal Code: | 622691848 |
Phone Number: | 6186288211 |
Fax Number: | 6186280883 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 01/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |