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Individual

RUTH L WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8240
(314) 251-0175
Mailing address
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8240
(314) 251-0175

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022013795
MO
363AM0700X
Medical Physician Assistant
085004642
IL
363AM0700X
Medical Physician Assistant
1774
NE

Other

Enumeration date
04/22/2013
Last updated
03/22/2024
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