Individual
DARRYL WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
974 BETHEL RD STE A, COLUMBUS, OH 43214-2467
(614) 538-2424
(614) 538-2418
Mailing address
1810 MACKENZIE DR FL 2, COLUMBUS, OH 43220-2967
(614) 273-2250
(614) 273-2255
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
35063683
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542273
ANTHEM
—
05
—
02296649
—
OH
Enumeration date
07/22/2005
Last updated
10/11/2023
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