Individual provider · Type 1 NPI

Richard Gerald Bolanos Jr., MD

Obstetrics & Gynecology Physician · St. Louis, MO

NPI number 1225358369 Active

Practice location

4352 Manchester Ave
St. Louis, MO 63110-2138

Call (314) 531-5444 Map

Fax (314) 531-0063

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Obstetrics & Gynecology Physician Primary 207V00000X2010020453 (MO)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1225358369

Richard Gerald Bolanos Jr., MD's National Provider Identifier is 1225358369, issued on Jun 10, 2010. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 18, 2022.