Organization
ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WILLEY M.D. (PRESIDENT)
(916) 922-7546
Entity
Organization
Contact information
Practice address
2277 FAIR OAKS BLVD, SUITE 402, SACRAMENTO, CA 95825-5533
(916) 922-7546
Mailing address
2277 FAIR OAKS BLVD, SUITE 402, SACRAMENTO, CA 95825-5533
(916) 922-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A75733
CA
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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