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Individual

DR. ARNOLD J WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
85836
GA
208800000X
Urology Physician
D0020464
MD
208800000X
Urology Physician
Primary
LT4196
NH
208800000X
Urology Physician
MD9513
DC
208800000X
Urology Physician
TL6077
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023376900
DC
01
028055
JOHN HOPKINS
01
1095850
CIGNA
01
1467393
AETNA HMO
01
1901104
UNITED HEALTHCARE AMERICHOICE
01
35301902
BCBS MD
01
35301905
BCBS MD
01
4053748
AETNA PPO
01
432105237
BRAVO HEALTH
01
45428
OPTIMUM CHOICE
01
57620005
BCBS DC
01
P00439848
RAILROAD MEDICARE
Enumeration date
08/22/2005
Last updated
06/25/2020
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