Organization
BRIAN WILLOUGHBY M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WILLOUGHBY M.D. (OWNER)
(303) 320-5700
Entity
Organization
Contact information
Practice address
255 DETROIT ST, DENVER, CO 80206-4833
(303) 320-5700
(303) 322-6129
Mailing address
255 DETROIT ST, DENVER, CO 80206-4833
(303) 320-5700
(303) 322-6129
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
40115
CO
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
DR.0040115
CO
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
40115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28836235
—
CO
01
—
463768
MEDICARE GROUP NUMBER
—
Enumeration date
08/21/2007
Last updated
05/16/2016
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