WILLIAMS MEDICAL GROUP, P.C.
Osteopathic Medicine at Taylor Ave, Saint Louis, MO

License number
Missouri 2657039-0
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MR. JEFFREY MARCUS WILMOTH
Title: SECRETARY-TREASURER
Phone: (415) 595-6734
Address
Address 2
111 N Taylor Ave SUITE A, Saint Louis, MO 63122
PO Box 1039, Fullerton, CA 92836
National Provider ID: 1558311969
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WILLIAMS MEDICAL GROUP, PC

Fullerton, CA  -  San Francisco, CA

Status:
Inactive
Registration:
Sep 2, 2003
Addresses:
140 E Santa Fe Ave, Fullerton, CA 92832 (Physical)
870 Market St #119, San Francisco, CA 94102 (Mailing)
State ID:
W00539803
Business type:
Professional Corporation
Entity State:
OK
Expiration:
Perpetual
Agent:
Secretary Of State,600 W Main, Jefferson City, MO 65101 (Physical)

WILLIAMS MEDICAL GROUP, PC

PO Box 1039, Fullerton, CA 92836

Status:
Inactive
Registration:
Sep 20, 2005
State ID:
0834208
Business type:
Stock
SECRETARYs:
Regina L. Williams (PRESIDENT), 4085 E Ln Palma Ave SUITE A, Anaheim, CA 92807 (Mailing)
2001 S Garnett Rd SUITE F, Tulsa, OK 74128 (Physical),Jeffrey M. Wilmoth (SECRETARY), 4085 E Ln Palma Ave SUITE A, Anaheim, CA 92807 (Mailing)
77 Terra Vis Ave, San Francisco, CA 94115 (Physical)
Agent:
Secretary Of The State,30 Trinity St, Hartford, CT 06106 (Mailing)

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