Individual
JAMES THOMAS WILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
435 N GATEWAY DR STE 801, PROVIDENCE, UT 84332-9004
(435) 787-1023
Mailing address
435 N GATEWAY DR STE 801, PROVIDENCE, UT 84332-9004
(435) 787-1023
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
11690691-0501
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2017
Last updated
03/29/2023
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