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Individual

DR. JAMES ALLEN WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11971 HERITAGE OAK PL, AUBURN, CA 95603-2461
(530) 745-9615
(530) 745-9610
Mailing address
11971 HERITAGE OAK PL, AUBURN, CA 95603-2461
(530) 745-9615
(530) 745-9610

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G37443
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0028370
CA
Enumeration date
09/09/2005
Last updated
05/14/2014
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