Individual
DR. EDRIC BROWNING WILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PIONEER LANE, BISHOP, CA 93514-3166
(760) 872-2665
(760) 872-2665
Mailing address
674 SNOW CIRCLE, BISHOP, CA 93514-3166
(760) 872-2665
(760) 872-2665
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G29373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G293730
—
CA
Enumeration date
03/28/2007
Last updated
07/08/2007
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