Individual
MR. WILLIAM COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DESIGNATED MANAGER
Contact information
Practice address
1451 MULLANPHY ST, SAINT LOUIS, MO 63106-3114
(314) 409-1686
Mailing address
1451 MULLANPHY ST, SAINT LOUIS, MO 63106-3114
(314) 409-1686
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
MO
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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