Individual
DR. MARK D WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-2330
(314) 747-1070
Mailing address
660 S EUCLID AVE, CB 8054, SAINT LOUIS, MO 63110-1010
(314) 362-2330
(314) 747-1070
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2017017635
MO
207L00000X
Anesthesiology Physician
Primary
62763
AZ
Other
Enumeration date
06/19/2014
Last updated
03/18/2021
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