Mallory Rose Holzer, PA

NPI #1265399653 in Weldon Spring, Missouri

Provider Information

NPI Number: 1265399653
Entity Type: Individual
Name: Mallory Rose Holzer, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 7, 2026
Last Updated: Jan 7, 2026

Practice Location

Address: 63 CLYDEBANK DR
City: Weldon Spring
State: Missouri
ZIP Code: 63304-7589
Phone: (636) 443-9868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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