Individual
DR. STEPHEN LEWIS WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1000
(202) 882-8434
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1000
(202) 882-8434
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD15363
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024027200
—
DC
01
—
110883
KAISER
—
01
—
250008028
RAILROAD MEDICARE
—
01
—
320227
MAMSI
—
01
—
422791-01
BS OF MARYLAND
—
01
—
4270331
AETNA NON-HMO
—
01
—
495032
NCPPO
—
01
—
5421827003
CIGNA
—
01
—
5460-0022
BS NCA 1500
—
05
—
561071100
—
MD
01
—
DCA0015363
BC NCA UB 92
—
Enumeration date
03/21/2007
Last updated
12/11/2007
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