MR. William Cole, DESIGNATED MANAGER
NPI #1124496336 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1124496336
- Entity Type
- Individual
- Name
- MR. William Cole, DESIGNATED MANAGER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Preferred Provider Organization
- Credential
- DESIGNATED MANAGER
- Enumeration Date
- Sep 3, 2015
- Last Updated
- Sep 3, 2015
Practice Location
- Address
- 1451 MULLANPHY ST
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63106-3114
- Phone
- (314) 409-1686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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