MEDICARE: DR. DANNIE E WILLIAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	P2083	TX
2	207Q00000X	Family Medicine Physician	2013013940	MO

General Provider Information

NPI Number	:	1568626349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANNIE E WILLIAMS MD

Provider Business Mailing Address
First Line	:	5621 DELMAR BLVD STE 108
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-2660
Country	:	US
Telephone Number	:	314-833-3437
Fax Number	:	314-584-5097

Provider Business Practice Location Address
First Line	:	9150 OVERLAND PLZ
Second Line	:
City	:	OVERLAND
State	:	MO
Zip	:	63114-6123
Country	:	US
Telephone Number	:	314-449-9633
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	01/26/2024

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Directions to “ DR. DANNIE E WILLIAMS MD” Practice Location

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