Individual provider · Type 1 NPI

Randall Lane Heller Iii, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1326337932 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Mailing address

11475 Olde Cabin Rd Ste 200
St. Louis, MO 63141-7129

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X036144873 (IL)
Vascular & Interventional Radiology Physician 2085R0204X2017008012 (MO)
Diagnostic Radiology Physician Primary 2085R0202X2017008012 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1326337932

Randall Lane Heller Iii, MD's National Provider Identifier is 1326337932, issued on Apr 4, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2020.