Individual
GRANT R KOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD.
Contact information
Practice address
660 S. EUCLID, BOX 8118, SAINT LOUIS, MO 63108
(314) 362-0101
Mailing address
4151 OLIVE STREET, SAINT LOUIS, MO 63108
(314) 533-4947
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
2006016382
MO
207ZP0101X
Anatomic Pathology Physician
Primary
2009001447
MO
Other
Enumeration date
04/27/2007
Last updated
02/08/2010
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