Individual
MR. WALTER R HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 N KENTUCKY ST STE 200, WEST PLAINS, MO 65775-2089
(417) 255-8337
(417) 255-2720
Mailing address
181 N KENTUCKY ST STE 200, WEST PLAINS, MO 65775-2089
(417) 255-8337
(417) 255-2720
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
110894
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100049
BC/BS
MO
05
—
130543001
—
AR
05
—
208541805
—
MO
05
—
506131408
—
MO
Enumeration date
09/20/2006
Last updated
09/20/2011
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