| NPI | 1326464298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNIE E WILLIAMS General Practitioner/Owner 314-833-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2013013940) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2018-07-10 |