Individual
DR. JAMES THOMAS DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
633 EMERSON RD, SUITE 100, CREVE COEUR, MO 63141-6739
(314) 991-4344
(314) 991-4345
Mailing address
307 JEFFERSON RD, SAINT LOUIS, MO 63119-3629
(314) 991-4344
(314) 991-4345
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2000160486
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168382
GHP
MO
01
—
179266
BLUE CROSS BLUE SHIELD
MO
01
—
2300376
UNITHED HEALTH CARE
MO
01
—
48117
EXCLUSIVE CHOICE
MO
01
—
614098
HEALTHLINK
MS
01
—
7348439
AETNA
MO
01
—
9949640001
CIGNA
MO
01
—
H78278
MERCY #80
MO
Enumeration date
01/11/2006
Last updated
11/23/2015
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