JEROLD W WALLIS

SAINT LOUIS, MO
NPI1225122567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207U00000X Nuclear Medicine
(Licence: MO  R9F90)
Enumeration Date2006-10-03
Last Update Date2024-04-25
Business Address
Dr. JEROLD W WALLIS MD
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
SAINT LOUIS, MO 63110-1016
Phone number: 314-362-7200
Mailing Address
Dr. JEROLD W WALLIS MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-7200