Individual
KATHLEEN E WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001
(928) 779-7840
(928) 779-7895
Mailing address
1150 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001
(928) 779-7840
(928) 779-7895
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16295
AZ
Other
Enumeration date
09/07/2006
Last updated
10/17/2007
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