Individual
DR. WILLIAM C SIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 WEBER RD, SUITE 205, FARMINGTON, MO 63640-3352
(573) 756-8400
(573) 756-8403
Mailing address
1101 WEBER RD, UITE 205, FARMINGTON, MO 63640-3352
(573) 756-8400
(573) 756-8403
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036091851
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371352599001
—
IL
Enumeration date
09/20/2005
Last updated
10/25/2011
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