Individual
DR. WILLLIAM F WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7520 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1533
(505) 884-7070
(505) 884-6018
Mailing address
61 PINON HILL PL NE, ALBUQUERQUE, NM 87122-1914
(505) 856-6340
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
76-117
NM
Other
Enumeration date
08/31/2005
Last updated
07/07/2010
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