Organization
MIDWEST PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLS (OWNER)
(314) 246-1690
Entity
Organization
Contact information
Practice address
119 CHURCH ST STE 135, FERGUSON, MO 63135-2459
(314) 246-1690
(800) 331-9716
Mailing address
PO BOX 69141, SAINT LOUIS, MO 63169-0141
(314) 246-1690
(800) 331-9716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006024364
MO
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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