Individual
WILLIAM C SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3915 WATSON RD STE 202, SAINT LOUIS, MO 63109-1251
(314) 244-3818
(888) 464-1108
Mailing address
3915 WATSON RD STE 202, SAINT LOUIS, MO 63109-1251
(314) 244-3818
(888) 464-1108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007010580
MO
207RI0200X
Infectious Disease Physician
2007010580
MO
207RI0200X
Infectious Disease Physician
39419
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016197
—
MS
05
—
09752214
—
MS
05
—
204589808
—
MO
05
—
3327876
—
TN
05
—
3721649
—
TN
01
—
4102661
BCBS OF TN
TN
Enumeration date
06/04/2006
Last updated
05/31/2024
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