Organization
WILLIAM G. HART, JR., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GARDNER HART JR. M.D. (PHYSICIAN)
(314) 251-6250
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, STE. 676A, SAINT LOUIS, MO 63141-8232
(314) 251-6250
Mailing address
621 S NEW BALLAS RD, STE. 676A, SAINT LOUIS, MO 63141-8232
(314) 251-6250
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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