NPI 1073538302

Jeffrey J Hallazgo, MD

Practitioner Internal Medicine Physician Fenton, MO

Practice location

Address: 714 Gravois Rd Suite 100, Fenton, MO 63026-7723
Phone: (636) 326-6100
Fax: (636) 326-6110
Mailing address: 12680 Olive Blvd STE 100, Creve Coeur, MO 63141-6322

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence R4G27 (MO)

Other Internal Medicine providers in Missouri →

Registry record

NPI: 1073538302
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2006
Record last updated: 10 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.