Individual
DR. WALTER LEE MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
621 S BALLAS RD STE 7020, SAINT LOUIS, MO 63122-5314
(314) 251-6000
Mailing address
407 HILLINGTON DR, EUREKA, MO 63025-1089
(541) 680-8220
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2014011937
MO
Other
Enumeration date
06/24/2012
Last updated
03/23/2021
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