Individual
JON WILLARDSON
Active
Individual
JON WILLARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
070013
GA
207P00000X
Emergency Medicine Physician
Primary
9463450-1204
UT
207P00000X
Emergency Medicine Physician
OT012855
PA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
070013
GA
Other
Enumeration date
05/20/2009
Last updated
07/28/2022
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