person
Walter G Holloman JR., MD
Diagnostic Radiology Physician in St Louis, Missouri
NPI 1942383914

Walter G Holloman JR. is a Diagnostic Radiology Physician based in Saint Louis, MO and is specialized in Diagnostic Radiology. Walter G Holloman JR. practices in St Louis, MO and has the professional credentials of MD. The NPI Number for Walter G Holloman JR. is 1942383914 and holds a License No. R6596 (Missouri).

The current practice location address for Walter G Holloman JR. is 3015 N New Ballas Rd, St Louis, MO and can be reached out via phone at 314-996-5180 and via fax at 314-821-2180.

Location: 3015 N New Ballas Rd, St Louis, MO, 63146-3109
person
Provider Profile Details
NPI Number
1942383914
Provider Name
Walter G Holloman JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3015 N New Ballas Rd, St Louis, MO, 63146-3109
Phone Number
314-996-5180
Fax Number
314-821-2180
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
135370 01 H LINK
A12402 01 GATE WAY
002013128 01 CARE
1600226 01 PH PLAN
6167 01 MCARE USA
2781 01 GHP
27600 01 BLUE CHOICE
300066998 01 RR CARE
017012444 01 MO CARE
04802710571 01 IL CAID
201047818 01 MO CAID
201047818 01 MC MCAID
431725842MID 01 MERCY
002013128 01 MO CARE
017012444 01 CARE
398023 01 HLT PART
0090000352 01 IL BLUE
1390 01 MO BLUE
institution
Provider Business Practice Location Address Details
Address
3015 N New Ballas Rd
City
State
Zip
63131
Phone Number
314-996-5180
Fax Number
314-821-2180
person
Provider Business Mailing Address Details
Address
3015 N New Ballas Rd
City
State
Zip
63131
Phone Number
314-996-5180
Fax Number
314-821-2180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
R6596 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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