Donna R Halloran MD

NPI 1003826520 - Pediatrics - 208000000X

NPI Details
NPI 1003826520
Gender Female
Enumeration Date 08/08/2006
Last Updated 07/31/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1465 S GRAND BLVD
ST. LOUIS MO, 63104-1003, US
Phone (314) 268-4101
Fax (314) 577-5379
Business Location
3691 RUTGER AVE
ST. LOUIS MO, 63110-2515, US
Phone (314) 977-6828
Fax (314) 977-6777
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 2005012170
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According to our database, Donna R Halloran MD NPI is 1003826520, taxonomy code is 208000000X and license number is 2005012170, license state is located at Missouri. Donna R Halloran MD physically located at 1465 S Grand Blvd, St. Louis MO, 63104-1003. NPI Number Donna R Halloran MD has the Individual type.

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1003826520 NPI number is provided on an as is basis without warranty of any kind. 1003826520 is maintained by the National Plan & Provider Enumeration System. The contents of Donna R Halloran MD are for informational purposes only.