Individual
NEAL HOLZUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PROGRESS POINT CT, STE 101A, O FALLON, MO 63368-2208
(636) 236-9945
Mailing address
PO BOX 1125, MARYLAND HEIGHTS, MO 63043-0125
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
110686
MO
208M00000X
Hospitalist Physician
Primary
110686
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326011271
—
MO
05
—
205262405
—
MO
01
—
P00664284
RAILROAD MEDICARE
MO
Enumeration date
02/10/2006
Last updated
11/25/2009
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