Organization
PHYSICAL MEDICINE & REHABILITATION CLINIC OF ST. LOUIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L WILLIAMS II MD (PRESIDENT)
(314) 390-6789
Entity
Organization
Contact information
Practice address
121 SAINT LUKES CENTER DR, STE. 500, CHESTERFIELD, MO 63017-3509
(314) 205-6503
Mailing address
121 SAINT LUKES CENTER DR, STE. 500, CHESTERFIELD, MO 63017-3509
(314) 390-6789
(314) 469-4797
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500577507
—
MO
01
—
DE9054
MEDICARE RAILROAD
MO
Enumeration date
01/19/2006
Last updated
05/03/2022
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