Individual
WILLIAM G HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 676A, SAINT LOUIS, MO 63141-8232
(314) 251-6250
(314) 251-6822
Mailing address
621 SO. NEW BALLAS ROAD, SUITE 676A, ST. LOUIS, MO 63141
(314) 251-6250
(314) 251-6822
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R6255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431300839
TAX ID
MO
Enumeration date
08/19/2006
Last updated
10/06/2011
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