Individual
DR. JOHN R WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14100 E ARAPAHOE RD, SUITE 170, CENTENNIAL, CO 80112-4028
(303) 699-3190
(303) 699-3189
Mailing address
14100 E ARAPAHOE RD, SUITE 170, CENTENNIAL, CO 80112-4028
(303) 699-3190
(303) 699-3189
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
30373
CO
207Q00000X
Family Medicine Physician
Primary
30373
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303734
—
CO
Enumeration date
12/28/2006
Last updated
10/22/2020
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