Luther J Willmore MD

NPI 1033136619 - Psychiatry & Neurology - 2084N0600X

NPI Details
NPI 1033136619
Gender Male
Enumeration Date 07/17/2006
Last Updated 03/18/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3660 VISTA
ST LOUIS MO, 63110, US
Phone (314) 577-8738
Fax (314) 268-5101
Business Location
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS MO, 63110, US
Phone (314) 977-4440
Fax
Toxanomy
Taxonomy Code 2084N0600X
License State Missouri
License Number 31757
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According to our database, Luther J Willmore MD NPI is 1033136619, taxonomy code is 2084N0600X and license number is 31757, license state is located at Missouri. Luther J Willmore MD physically located at 3660 Vista, St Louis MO, 63110. NPI Number Luther J Willmore MD has the Individual type.

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1033136619 NPI number is provided on an as is basis without warranty of any kind. 1033136619 is maintained by the National Plan & Provider Enumeration System. The contents of Luther J Willmore MD are for informational purposes only.