Individual
TIMOTHY JOHN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5096
Mailing address
2130 N STAR GLORY PL, TUCSON, AZ 85715-6815
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
03/05/2026
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