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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAUL E TATUM III, MD

Active

PAUL E TATUM III, MD is a Hospice and Palliative Medicine healthcare provider located in SAINT LOUIS, Missouri. NPI 1821079559 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · SAINT LOUIS, MO

Registration Details

NPI Number
1821079559
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2005 (20.782961859963 yrs)
Last Updated
Apr 2, 2025
Licenses
2022022258 (MO)
R9296 (TX)
036160360 (IL)

Practice Information

Address
915 N GRAND BLVD
SAINT LOUIS, MO, 631061621
Browse MO providers · Browse ZIP 63106
Phone
3146524100
Primary Specialty
Hospice and Palliative Medicine
207QH0002X

Other Hospice and Palliative Medicine Providers in SAINT LOUIS, MO

Name Credential NPI
CAMERON BYRNE SIMMONS MD 1902218043
CHELSEA LYN DANIELS DO 1194384560
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.