| Williams Clinic, Ltd | |
|
3409 Union Blvd Saint Louis MO 63115-1127 | |
| (314) 261-4834 | |
| (314) 383-3970 |
| Full Name | Williams Clinic, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 3409 Union Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Roy Jerome Williams (PHYSICIAN) |
| Authorized Official Contact | 3142614834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Clinic, Ltd 3409 Union Blvd Saint Louis MO 63115-1127 Ph: (314) 261-4834 | Williams Clinic, Ltd 3409 Union Blvd Saint Louis MO 63115-1127 Ph: (314) 261-4834 |
| NPI Number | 1376722108 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 09/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376722108 | NPI | - | NPPES |
| 201722501 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R9968 (Missouri) | Primary |
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