Individual
JENNIFER LOUISE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006-2848
(602) 239-4567
Mailing address
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006-2848
(602) 239-2668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81372
AZ
Other
Enumeration date
07/10/2007
Last updated
11/16/2007
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