Individual
WILLIAM ORLEANS IMBEAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 3016B, SAINT LOUIS, MO 63141-8232
(314) 251-6339
(314) 251-4564
Mailing address
621 S NEW BALLAS RD, SUITE 3016B, SAINT LOUIS, MO 63141-8232
(314) 251-6339
(314) 251-4564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001010867
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932240249
—
IL
05
—
208747600
—
MO
Enumeration date
02/09/2007
Last updated
11/05/2013
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