Individual
DR. NANCY ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
125 E BROOKS ST, BROOKFIELD, MO 64628-1727
(660) 258-9065
Mailing address
125 E BROOKS ST, BROOKFIELD, MO 64628-1727
(660) 258-9065
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
30110
MO
207Q00000X
Family Medicine Physician
Primary
30110
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120002207
RAILROAD MEDICARE
—
05
—
240728717
—
MO
Enumeration date
10/09/2007
Last updated
05/23/2019
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