Provider Demographics
NPI:1366542409
Name:SALTMAN, ROBERT JON (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JON
Last Name:SALTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:969 N MASON ROAD
Mailing Address - Street 2:SUITE 145
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141
Mailing Address - Country:US
Mailing Address - Phone:314-878-6008
Mailing Address - Fax:314-434-5708
Practice Address - Street 1:969 MASON RD
Practice Address - Street 2:STE 145
Practice Address - City:CREVE COUER
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-878-6008
Practice Address - Fax:314-434-5708
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR1D81207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A13646Medicare UPIN
MO001013412Medicare ID - Type Unspecified