DR. Jerold W Wallis MD

  • NPI 1225122567
According to our database, the NPI number for DR. Jerold W Wallis MD is 1225122567 and activated since 17 years ago. DR. Jerold W Wallis MD is an individual provider who specializes in Nuclear Medicine, and the primary practice location is 510 S Kingshighway Blvd, Saint Louis, MO 63110. You can also contact DR. Jerold W Wallis MD via telephone number is (314) 362-7200. Provider NPI information was last updated on 01/29/2018.

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Overview of DR. Jerold W Wallis MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/03/2006
  • Last updated: 01/29/2018

Primary Scrop of Practice

  • Taxonomy Code: 207U00000X
  • Specialty: Nuclear Medicine
  • License Number: R9F90
  • License State: MO

Provider Mailing Address

  • Address: 660 S Euclid Ave
    C B 8131
    Saint Louis, MO 63110
  • Phone: 314-362-7200
  • Fax: 314-747-4189

Provider Practice Location

  • Address: 510 S Kingshighway Blvd
    Saint Louis, MO 63110
  • Phone: 314-362-7200
  • Fax: 314-747-4189

Scope of Practice

  • Taxonomy Code: 207U00000X
  • Specialty: Nuclear Medicine
  • License Number: R9F90
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: ENROLLED
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jerold W Wallis MD?
  • A: The npi number for DR. Jerold W Wallis MD is 1225122567.
  • Q: What are DR. Jerold W Wallis MD's specialties?
  • A: DR. Jerold W Wallis MD's specialties are Nuclear Medicine and different specialities.
  • Q: What is the medical license for DR. Jerold W Wallis MD?
  • A: The medical license number for DR. Jerold W Wallis MD is R9F90 and issued in MO in USA.
  • Q: Where is DR. Jerold W Wallis MD practice location?
  • A: DR. Jerold W Wallis MD is practicing at 510 S Kingshighway Blvd, Saint Louis, MO 63110.
  • Q: How to contact DR. Jerold W Wallis MD?
  • A: You can contact DR. Jerold W Wallis MD via 314-362-7200.