Individual
CHRISTOPHER B WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LEE ST FL 1, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2361
(434) 924-2877
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101245842
VA
207P00000X
Emergency Medicine Physician
4301097903
MI
207P00000X
Emergency Medicine Physician
57010630
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902007453
—
MI
Enumeration date
05/31/2007
Last updated
07/29/2011
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