Individual
CARRIE ANNE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 E MEDICAL CENTER DR, STE 1500, ST GEORGE, UT 84790-2123
(435) 251-2500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8696965-1205
UT
Other
Enumeration date
07/16/2008
Last updated
09/30/2021
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