Individual
DR. JANE ALISON OHALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100, SAINT LOUIS, MO 63110-1035
(314) 362-9098
(314) 362-9851
Mailing address
660 S EUCLID AVE, CB 8051, SAINT LOUIS, MO 63110-1010
(314) 362-9098
(314) 362-9851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019024568
MO
207RI0200X
Infectious Disease Physician
Primary
2019024568
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075573
—
MO
Enumeration date
07/13/2016
Last updated
12/08/2021
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