Individual
JAMES WILLARD BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(888) 403-1071
Mailing address
9979 WINGHAVEN BLVD, SUITE 202, O FALLON, MO 63368-3627
(314) 909-1444
(636) 240-4904
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MO110526
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
110526
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730191701
—
MO
Enumeration date
08/11/2006
Last updated
10/23/2018
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