# DR. WILLARD'S FAMILY PRACTICE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598162174
- **Authorized official:** DR. JOHN R. WILLARD D.O. (SOLO PRACTICITIONER)
- **Authorized official phone:** (303) 699-3190

## Contact information

- **Practice address:** 14100 E ARAPAHOE RD, SUITE 170, CENTENNIAL, CO 80112-4028
- **Practice address phone:** (303) 699-3190
- **Practice address fax:** (303) 699-3189
- **Mailing address:** 14100 E. ARAPAHOE RD., SUITE 170, CENTENNIAL, CO 80112-4048
- **Mailing address phone:** (303) 699-3190
- **Mailing address fax:** (303) 699-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30373 | CO | Yes |

## Other

- **Enumeration date:** 11/26/2014
- **Last updated:** 11/26/2014