IndividualActive
William Hollabaugh, MD
NPI 1659868040 · Pediatric Sports Medicine Physician · O Fallon, MO
Provider details
- NPI number
- 1659868040
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2024016238 (MO)
Practice location
20 Progress Point Pkwy
Dept Orthopaedic Surgery, Ste 114
O Fallon, MO 63368-2206
Phone: (314) 514-3500
Fax: (314) 878-7678
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2018-04-20
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.