HENRY DOUGLAS WALDEN

SAINT LOUIS, MO
NPI1275546285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  R4D18)
Enumeration Date2006-08-14
Last Update Date2009-03-30
Business Address
-- HENRY DOUGLAS WALDEN M.D.
3660 VISTA AVE SUITE 207
SAINT LOUIS, MO 63110-2540
Phone number: 314-977-6100
Mailing Address
-- HENRY DOUGLAS WALDEN M.D.
3691 RUTGER ST PROVIDER ENROLLMENT
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-4440
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