Individual provider · Type 1 NPI

Charles J. Willey, MD

Specialist · St. Louis, MO

NPI number 1811996028 Active · reactivated Jun 20, 2006

Practice location

9915 Kennerly Rd, Suite J
St. Louis, MO 63128-2703

Call (314) 843-4794 Map

Fax (314) 843-9256

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X13351 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1811996028

Charles J. Willey, MD's National Provider Identifier is 1811996028, issued on Jul 19, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 15, 2010.