Individual
DR. WILLIAM LOUIS HOLLABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROGRESS POINT PKWY, DEPT ORTHOPAEDIC SURGERY, STE 114, O FALLON, MO 63368-2206
(314) 514-3500
(314) 878-7678
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 514-3500
(314) 878-7678
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
2024016238
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200148295
—
MO
Enumeration date
04/20/2018
Last updated
04/17/2025
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