Individual
STEPHEN CORY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DR, 3W27, COLUMBIA, MO 65212-5276
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2011001349
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2010
Last updated
04/21/2011
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