Individual
DR. NATHANIAL S NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 747-1206
(314) 454-5392
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 747-1206
(314) 454-5392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020013850
MO
207RI0200X
Infectious Disease Physician
Primary
2020013850
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033796
—
MO
Enumeration date
06/20/2016
Last updated
02/03/2026
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