Healthcare Provider Details

I. General information

NPI: 1073205654
Provider Name (Legal Business Name): WILLIAM GRANT FRANCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 CLAYTON RD
SAINT LOUIS MO
63117-1811
US

IV. Provider business mailing address

665 S SKINKER BLVD APT 9J
SAINT LOUIS MO
63105-2347
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-8778
  • Fax: 314-768-7101
Mailing address:
  • Phone: 203-921-5341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2025026628
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: