Individual
DR. TONY J TOLOCZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 BELLEVUE AVE STE 400, SAINT LOUIS, MO 63117-1844
(314) 925-4700
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023009164
MO
207R00000X
Internal Medicine Physician
43541
CO
208000000X
Pediatrics Physician
43541
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018342
KAISER COMMERCIAL MEMBER
CO
05
—
62532260
—
CO
Enumeration date
10/13/2006
Last updated
03/20/2023
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