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Individual

DR. WILLIAM M HART JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL, 12TH FLOOR SUITE C, SAINT LOUIS, MO 63110-1032
(314) 362-3937
(314) 747-5375
Mailing address
660 S EUCLID AVE, C B 8096, SAINT LOUIS, MO 63110-1010
(314) 362-3937
(314) 747-5375

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R5245
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0230170141
IL
05
200427714
MO
Enumeration date
07/18/2006
Last updated
01/16/2009
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