# VOLNEY L WILLETT III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912964966
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14301 | ND | Yes |
| 207Q00000X | Family Medicine Physician | M-11545 | ID | — |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 05/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1469152 | — | ND |
| 05 | — | 1912964966 | — | ID |
| 01 | — | 20000542 | PTAN | ID |