Provider Demographics
NPI:1548293673
Name:MEHARD, WILLIAM B (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:MEHARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11475 OLDE CABIN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7129
Mailing Address - Country:US
Mailing Address - Phone:314-991-8200
Mailing Address - Fax:314-991-8206
Practice Address - Street 1:16091 SWINGLEY RIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2056
Practice Address - Country:US
Practice Address - Phone:314-238-5260
Practice Address - Fax:314-821-1833
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2020-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV217692085R0202X
WI47536-0202085R0202X
VA01012409782085R0202X
TN391952085R0202X
PAMD4596902085R0202X
KY398892085R0202X
IL0361125822085R0202X
KS043309512085R0202X
MO1053642085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209727817Medicaid
MO209727817Medicaid
P00363667Medicare PIN
MO209727817Medicaid
MO257010520Medicare PIN
134820002Medicare PIN