# REGINALD D WILLS MD PC

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

## Provider details

- **NPI number:** 1932478617
- **Authorized official:** REGINALD DOUGLAS WILLLS MD (PRESIDENT)
- **Authorized official phone:** (202) 635-1600

## Contact information

- **Practice address:** 1263 EVARTS ST NE, WASHINGTON, DC 20018-3710
- **Practice address phone:** (202) 635-1600
- **Practice address fax:** (202) 529-4425
- **Mailing address:** 1263 EVARTS ST NE, WASHINGTON, DC 20018-3710
- **Mailing address phone:** (202) 635-1600
- **Mailing address fax:** (202) 529-4425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD8436 | DC | Yes |

## Other

- **Enumeration date:** 12/23/2011
- **Last updated:** 12/23/2011