Individual
DR. DOUGLAS WAYNE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1011 SE 4TH TER, LEES SUMMIT, MO 64063-3221
(816) 524-4383
Mailing address
1011 SE 4TH TER, LEES SUMMIT, MO 64063-3221
(816) 524-4383
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044593
MO
183500000X
Pharmacist
1-12514
KS
183500000X
Pharmacist
15316
OK
183500000X
Pharmacist
PD11898
AR
Other
Enumeration date
05/07/2007
Last updated
10/23/2012
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