Individual
DR. DARRELL E WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 E MIEL DE LUNA AVE, TUCUMCARI, NM 88401-3828
(575) 461-7100
(575) 461-7101
Mailing address
909 ESCUELA AVE, TUCUMCARI, NM 88401-4616
(850) 376-6042
(575) 461-7101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME77630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256613300
—
FL
Enumeration date
05/23/2006
Last updated
02/13/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us