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Organization

CHRISTOPHER A. WILLS, MD, A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER WILLS MD (OWNER)
(714) 639-0760
Entity
Organization

Contact information

Practice address
725 W LA VETA AVE, SUITE 260, ORANGE, CA 92868-4403
(714) 639-0760
(714) 771-5194
Mailing address
725 W LA VETA AVE, SUITE 260, ORANGE, CA 92868-4403
(714) 639-0760
(714) 771-5194

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G44871
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G4484710
CA
Enumeration date
05/18/2009
Last updated
11/17/2009
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