Organization
WILLIAMS MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY MARCUS WILMOTH (SECRETARY-TREASURER)
(415) 595-6734
Entity
Organization
Contact information
Practice address
111 N TAYLOR AVE, SUITE A, KIRKWOOD, MO 63122-4358
(314) 822-9997
(314) 822-9994
Mailing address
PO BOX 1039, FULLERTON, CA 92836-1039
(415) 595-6734
(714) 526-3110
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2657039-0
FL
Other
Enumeration date
05/10/2006
Last updated
03/23/2009
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