Individual
DEBORAH A VAN WILLIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1397A WEIMER ROAD, HOLY CROSS HOSPITAL, TAOS, NM 87571
(505) 758-8883
Mailing address
1397A WEIMER ROAD, PO BOX DD, TAOS, NM 87571
(505) 758-8883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95-58
NM
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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