Individual
JUSTIN WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA UNIVERSITY HEALTH - PM&R, LOMA LINDA, CA 92354-2804
(909) 558-6202
Mailing address
16845 N 29TH AVE, STE 1-460, PHOENIX, AZ 85053
(858) 242-6680
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
008433
AZ
Other
Enumeration date
05/24/2016
Last updated
07/01/2020
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