Individual
MR. LARRY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1901 PENNSYLVANIA AVE, SAINT LOUIS, MO 63133-1325
(314) 512-7800
Mailing address
7939 WESTOVER PL, UNIVERSITY CITY, MO 63130-2026
(314) 567-1912
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2006037101
MO
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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