William Wang Llc | |
601 Arrow Ln O Fallon MO 63366-4410 | |
(314) 441-9594 | |
Not Available |
Full Name | William Wang Llc |
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Speciality | Psychiatry & Neurology |
Location | 601 Arrow Ln, O Fallon, Missouri |
Authorized Official Name and Position | William Wang (OWNER) |
Authorized Official Contact | 3144419594 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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William Wang Llc Po Box 8412 Saint Louis MO 63132-0412 Ph: (314) 441-9594 | William Wang Llc 601 Arrow Ln O Fallon MO 63366-4410 Ph: (314) 441-9594 |
NPI Number | 1336235308 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 03/21/2022 |
Certification Date | 03/21/2022 |
Medicare PECOS PAC ID | 8224100862 |
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Medicare Enrollment ID | O20080626000523 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336235308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | William W Wang |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306950985 PECOS PAC ID: 3476550559 Enrollment ID: I20061102000354 |
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