Individual
JOHN NICOL WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-1510
(970) 625-4989
Mailing address
PO BOX 310, CRAWFORD, CO 81415-0310
(970) 921-6008
(970) 921-3965
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32549
CO
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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