# JAMES W WILLOUGHBY II DO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Holistic Medicine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396015095
- **Authorized official:** DR. JAMES W WILLOUGHBY II DO (OWNER)
- **Authorized official phone:** (816) 781-0902

## Contact information

- **Practice address:** 24-26 S MAIN ST, STE A, LIBERTY, MO 64069
- **Practice address phone:** (816) 781-0902
- **Mailing address:** 24-26 S MAIN ST, LIBERTY, MO 64069
- **Mailing address phone:** (816) 781-0902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 37014 | MO | Yes |

## Other

- **Enumeration date:** 01/11/2012
- **Last updated:** 01/11/2012
