NPI 1063684868

John Williams, MD

Practitioner Health Maintenance Organization Pacific, MO

Practice location

Address: 18701 Old Highway 66, Pacific, MO 63069-3526
Phone: (636) 257-3322
Fax: (636) 257-8026
Mailing address: 18701 Old Highway 66, Pacific, MO 63069

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 36324 (MO)

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Registry record

NPI: 1063684868
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2008
Record last updated: 1 Apr 2008

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.