Most Relevant Information
Provider Data
NPI Number: | 1003038746 |
Provider Name: | ADAM WINSTON TAVES MD |
Entity Type: | Individual |
Taxonomy Code: | 2085R0202X |
Specialty: | Radiology |
License Number: | 2012021368 |
Most Important Dates
Enumeration Date: | 05/03/2007 |
Last Updated: | 10/03/2023 |
Provider Practice Location
300 FIRST CAPITOL DRIVE
ST. CHARLES
MO
63301
Practice Location Phone/Fax
Phone: | 6369475444 |
Fax: | 6369475259 |
Provider Mailing Location
220 COMPASS POINT DRIVE
ST CHARLES
MO
63301
Provider Mailing Phone/Fax
Phone: | 6369474480 |
Fax: | 6369479860 |