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Organization

DONALD J WILLIS D.O. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD J WILLIS (D.O.)
(575) 624-1333
Entity
Organization

Contact information

Practice address
313 W COUNTRY CLUB RD, SUITE 9, ROSWELL, NM 88201-5804
(575) 624-2095
(575) 627-5721
Mailing address
313 W COUNTRY CLUB RD, SUITE 9, ROSWELL, NM 88201-5804
(575) 624-1333
(575) 627-5721

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-822-85
NM

Other

Enumeration date
03/02/2009
Last updated
06/19/2009
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