Individual
DR. BASIMA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7421 HIGHWAY N, DARDENNE PRAIRIE, MO 63368-7014
(636) 561-5699
(636) 669-2401
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
(636) 669-2401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005036218
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200202000
—
MO
Enumeration date
03/31/2006
Last updated
05/06/2016
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