Individual
SILAS HUSTON WILLIAMS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1297
(660) 885-5511
Mailing address
3600 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2369
(816) 682-0651
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2019018886
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019018886
MEDICAL LICENSE
MO
Enumeration date
05/13/2013
Last updated
12/06/2022
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