Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J WILLEY, MD
DeactivatedDR. CHARLES J WILLEY, MD is a Specialist healthcare provider located in SAINT LOUIS, Missouri. NPI 1811996028 is deactivated in the NPPES registry. Verify at CMS.
Specialist · SAINT LOUIS, MO
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1811996028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (0.66849315068493 yrs)
- Last Updated
- Jul 15, 2010
- Deactivated
- Mar 20, 2006
- License
-
13351 (MO)
Practice Information
- Address
-
9915 KENNERLY RDSUITE JSAINT LOUIS, MO, 631282703Browse MO providers · Browse ZIP 63128
- Phone
- 3148434794
- Fax
- 3148439256
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT J BACKER | MD | 1790788941 |
| DR. PETER KONG-WOO YOON | M.D. | 1013917715 |
| DR. RICHARD C LEHMAN | M.D. | 1851392377 |
| DR. ELSA D GUTIERREZ | MD | 1366438061 |
| DR. DAVID J MEINERS | M.D. | 1366439663 |
| DR. HENRY MARTIN ALTEPETER III | M.D. | 1992792295 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.