Organization
BRIAN M WILLARD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MCKINLEY WILLARD (PHYSICIAN)
(610) 253-2968
Entity
Organization
Contact information
Practice address
1108 VAN BUREN RD, SUITE 202, EASTON, PA 18045-2034
(610) 253-2968
(610) 253-2516
Mailing address
1108 VAN BUREN RD, SUITE 202, EASTON, PA 18045-2034
(610) 253-2968
(610) 253-2516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD049155-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014371230004
—
PA
Enumeration date
02/21/2007
Last updated
12/05/2012
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