Individual provider · NPI-1
Dr. Brendan Reed Calhoun, MD
Radiology, Diagnostic Radiology · Saint Louis, MO
NPI number1649682089
StatusActive
Last updated in NPPESFeb 21, 2024
Details
- NPI
- 1649682089
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brendan Reed Calhoun
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2014
- Certification date
- Feb 21, 2024
- Last updated
- Feb 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 2019012966 | MO | Yes |
| 207U00000X | Nuclear Medicine | 2019012966 | MO | |
| 2085R0202X | Radiology, Diagnostic Radiology | 41120 | OK |
Practice location
615 S New Ballas RdSaint Louis, MO 63141-8221
Phone 314-251-6031 · Fax 314-251-6343
Mailing address
11475 Olde Cabin Rd Ste 200Saint Louis, MO 63141-7129
Phone 314-991-8210 · Fax 314-991-8206
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