Individual
VICTOR G WILLIAMS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12266 DE PAUL DR STE 100, BRIDGETON, MO 63044-2541
(314) 738-2770
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2014021847
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188557601
—
TX
01
—
752616977008
TRICARE
TX
01
—
8AG191
BCBS
TX
Enumeration date
04/04/2007
Last updated
10/28/2020
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