Gary R Williams, CRNA | |
434 N West St, Perryville, MO 63775-1359 | |
(573) 547-2536 | |
(573) 517-0347 |
Full Name | Gary R Williams |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 434 N West St, Perryville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306956503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 140033 (Missouri) | Primary |
Entity Name | Ips Of St Louis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316182173 PECOS PAC ID: 6709916372 Enrollment ID: O20100608000294 |
Mailing Address | Practice Location Address |
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Gary R Williams, CRNA 778 Tyler Branch Rd, Perryville, MO 63775-8847 Ph: () - | Gary R Williams, CRNA 434 N West St, Perryville, MO 63775-1359 Ph: (573) 547-2536 |
Karen Aromando-williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 434 N West St, Perryville, MO 63775 Phone: 573-547-2530 Fax: 573-517-0347 | |
Ethan Seyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 434 N West St, Perryville, MO 63775 Phone: 573-547-2536 | |
Dianne Toycen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 162 Green Meadows Ln, Perryville, MO 63775 Phone: 573-517-7810 | |
Ms. Jenny Ernst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Pcr 702, Perryville, MO 63775 Phone: 573-547-9029 |