Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 12596 | MO |
NPI | 1528237815 |
---|---|
Provider Name | William K Weltscheff |
First Address | Arnold, MO 63010-1050 |
Second Address | Arnold, MO 63010-1050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 21/02/2008 |