Individual
DR. BRENDAN REED CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6031
(314) 251-6343
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8210
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
2019012966
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2019012966
MO
2085R0202X
Diagnostic Radiology Physician
41120
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200068429
—
MO
Enumeration date
05/20/2014
Last updated
02/21/2024
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