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Organization

WILLIS & MELOGRANA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARNOLD J WILLIS MD (PRESIDENT)
(301) 474-3636
Entity
Organization

Contact information

Practice address
7801 BELLE POINT DR, GREENBELT, MD 20770-3337
(301) 474-3636
(301) 513-5087
Mailing address
7755 BELLE POINT DR, GREENBELT, MD 20770-3316
(301) 474-3636
(301) 513-5087

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023375200
DC
05
138401500
MD
05
138401502
MD
05
138401503
MD
Enumeration date
08/22/2005
Last updated
07/21/2022
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