Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Walter G Holloman Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1942383914

Walter G Holloman Jr., MD is a Diagnostic Radiology Physician in St. Louis, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3015 N New Ballas Rd
St. Louis, MO 63131
Phone: (314) 996-5180
Fax: (314) 821-2180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence R6596 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036061640 (IL)

Record details

NPI number1942383914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESMarch 18, 2009

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