NPI 1023400272

Women's Functional Health and Hormone Ce

Organisation Specialist Osage Beach, MO

Practice location

Address: 1055 Ozark Care Dr, Osage Beach, MO 65065-3016
Phone: (573) 693-1516
Fax: (573) 693-1519

Authorised official

Name: Sonja Gayle Williams
Title: Physician
Phone: (573) 693-1516

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2005000798 (MO)

Other Specialist providers in Missouri →

Registry record

NPI: 1023400272
Entity type: Organization
NPI issued: 25 Feb 2015
Record last updated: 25 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.