Provider Demographics
NPI:1659324457
Name:CHRISTMAS, WILLIAM A (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:CHRISTMAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 THOMPSON LN
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:MO
Mailing Address - Zip Code:63621-9153
Mailing Address - Country:US
Mailing Address - Phone:573-366-3284
Mailing Address - Fax:
Practice Address - Street 1:505 THOMPSON LN
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:MO
Practice Address - Zip Code:63621-9153
Practice Address - Country:US
Practice Address - Phone:573-366-3284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO117991207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO074050094Medicare ID - Type Unspecified
MOF30310Medicare UPIN