Provider Demographics
NPI:1053323915
Name:EICHHOLZ, KURT M (MD)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:M
Last Name:EICHHOLZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4590 S LINDBERGH BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1832
Mailing Address - Country:US
Mailing Address - Phone:314-270-9494
Mailing Address - Fax:314-270-9495
Practice Address - Street 1:4590 S LINDBERGH BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1832
Practice Address - Country:US
Practice Address - Phone:314-270-9494
Practice Address - Fax:314-270-9495
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MO2006012797207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
BE9829790OtherDEA