Provider profile
IndividualAndrew Blake Wallace
Radiology in Saint Louis, MO. NPI 1740626654, listed in the CMS NPI Registry since 05/18/2013. Bills Medicare.
NPI 1740626654Specialty RadiologyEnumerated 05/18/2013
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Registry and Medicare facts
- Practice location
- 510 S Kingshighway Blvd, Saint Louis, MO 63110 CMS NPI Registry
- Specialty
- Radiology CMS NPI Registry
- Subspecialty
- Diagnostic Radiology CMS NPI Registry
- Enumeration date
- 05/18/2013 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 3,516 Part B CMS Medicare 2024
In the full profile
Locked- 142 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in MO by patient mix and volume
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