Individual
DR. CHARLES J WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9915 KENNERLY RD, SUITE J, SAINT LOUIS, MO 63128-2703
(314) 843-4794
(314) 843-9256
Mailing address
9915 KENNERLY RD, SUITE J, SAINT LOUIS, MO 63128-2703
(314) 843-4794
(314) 843-9256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13351
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010004
ESSENCE ST LOUIS MO
MO
01
—
000000012458
ESSENCE COLUMBIA
IL
01
—
0400101
UHC MEDICARE COMPLETE MO
MO
01
—
0400221
UHC MEDICARE COMPLETE IL
IL
01
—
0403389
UHC COLUMBIA IL
MO
01
—
0407220
UHC ST LOUIS MO
MO
01
—
08221955
BCBS
MO
01
—
127507
GHP
MO
01
—
138779
HEALTHLINK
MO
01
—
25662
BCBS IL/MO TRI-ST
IL
01
—
25662
BCBS
MO
01
—
4001190
AETNA
MO
01
—
A13558
MERCY
MO
Enumeration date
07/19/2005
Last updated
07/15/2010
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