Individual
DR. TAMARA L WILLIS-BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 W 72ND AVE, DENVER, CO 80221-2721
(303) 650-4460
Mailing address
2700 PHEASANT RUN, BERTHOUD, CO 80513-8473
(970) 581-0119
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44373
CO
207V00000X
Obstetrics & Gynecology Physician
MD-13841
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000260901
HMSA BILLING NUMBER
HI
01
—
018888
KAISER COMMERCIAL NUMBER
CO
05
—
23825545
—
CO
Enumeration date
06/08/2006
Last updated
07/12/2016
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