Dr. Jerold W Wallis, MD
Dr. Jerold W Wallis, MD is a Nuclear Medicine in Saint Louis, Missouri. Graduated from Stanford University School of Medicine in 1981, 45 years ago. Practices with Miracl LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 45
- Trained at
- Stanford University School of Medicine
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
510 S Kingshighway Blvd Dept RadiologySaint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nuclear Medicine Physician (primary) | Taxonomy 207U00000X · Licence R9F90 (MO) |
|---|
Record details
| NPI number | 1225122567 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 3, 2006 |
| Last updated in NPPES | April 17, 2025 |
Medicare enrollment
| Medicare specialty | NUCLEAR MEDICINE |
|---|---|
| Medical school | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1981 (45 years in practice) |
| Group practice | Miracl Llc — 97 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Saint Louis
-
Dr. Archana Bhat Sachedina, MD
510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110-1016 · (314) 362-7200
-
Dr. Avril Slavin, MD
6420 Clayton Rd St Mary's Health Ctr, Saint Louis, MO 63117-1811 · (314) 768-8276
-
St Louis University
1201 S Grand Blvd, Saint Louis, MO 63104-1016 · (314) 577-8000
-
Dr. Christopher Allan Swingle, DO
510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110-1016 · (314) 362-7200
-
West County Radiological Group, Inc
615 S New Ballas Rd Dept OF Radiology, Saint Louis, MO 63141-8221 · (314) 251-6031