Individual
DR. HEATHER CAROLYN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3449 PHEASANT MEADOW DR, STE 107, O FALLON, MO 63368-7364
(636) 379-4140
(636) 379-4132
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(636) 379-4140
(636) 379-4132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001026591
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204028005
—
MO
Enumeration date
06/10/2005
Last updated
03/13/2013
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