Organization
DELMAR PRIMARY CARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNIE E WILLIAMS M.D. (GENERAL PRACTITIONER/OWNER)
(314) 833-3437
Entity
Organization
Contact information
Practice address
5621 DELMAR BLVD, SUITE 108, SAINT LOUIS, MO 63112
(314) 833-3437
(314) 833-3102
Mailing address
5621 DELMAR BLVD, SUITE 108, SAINT LOUIS, MO 63112-2656
(314) 833-3437
(314) 833-3102
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2013013940
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568626349
NPI
MO
Enumeration date
03/14/2014
Last updated
07/10/2018
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