Individual
WILLIAM L UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HWY 61S AT HWY 67, CRYSTAL CITY, MO 63019
(636) 933-1000
Mailing address
4 WOODCHASE DR, FARMINGTON, MO 63640-1434
(636) 933-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2003024400
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208831420
—
MO
01
—
298156053
CDS
MO
Enumeration date
05/12/2006
Last updated
03/07/2023
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