Individual
WILLIS BICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCP
Contact information
Practice address
2421 LINDEN LN, SILVER SPRING, MD 20910-1230
(301) 585-5347
Mailing address
2421 LINDEN LN, SILVER SPRING, MD 20910-1230
(301) 585-5347
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
C21593
TX
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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