Organization
UROLOGY CENTER OF WEST PLAINS
Active
Organization
UROLOGY CENTER OF WEST PLAINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER R HOLLOWAY M.D. (PHYSICIAN OWNER)
(417) 255-8337
Entity
Organization
Contact information
Practice address
181 N KENTUCKY ST STE 200, WEST PLAINS, MO 65775-2089
(417) 255-8337
(417) 255-2720
Mailing address
181 N KENTUCKY ST STE 200, WEST PLAINS, MO 65775-2089
(417) 255-8337
(417) 255-2720
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
110894
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100049
BCBS OF MO
MO
Enumeration date
12/11/2006
Last updated
08/22/2020
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