Whalio Doctors

NPI 1144339334

Athletics Sports Medicine

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Saint Louis, MO

Practice location

Address
7508 Big Bend Blvd, Saint Louis, MO 63119-2104
Phone
(314) 341-4931
Fax
(314) 647-1964

Authorised official

Name
Cyd Charisse Williams
Title
Owner/Physician
Phone
(314) 647-4880

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 1999135803 (MO)

Registry record

NPI
1144339334
Entity type
Organization
NPI issued
30 Aug 2006
Record last updated
22 Aug 2020

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.