Basic Information
| Provider Information | |||||||||
| NPI: | 1053392316 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAITZ | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 23340 | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631563340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148437333 | ||||||||
| FaxNumber: | 3148439946 | ||||||||
| Practice Location | |||||||||
| Address1: | 5034 GRIFFIN RD | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631283418 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148437333 | ||||||||
| FaxNumber: | 3148439946 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2005 | ||||||||
| LastUpdateDate: | 10/24/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | R6C53 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | A13557 | 01 | MO | MERCY | OTHER | 127490 | 01 | MO | GHP | OTHER | 4000936 | 01 | AETNA | OTHER | 0400079 | 01 | MO | UHC | OTHER | 137294 | 01 | MO | HEALTHLINK | OTHER | 000000010035 | 01 | MO | ESSENCE | OTHER | 25688 | 01 | MO | BCBS | OTHER |