Individual
RICHARD WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 E MCCREIGHT AVE, SPRINGFIELD, OH 45503-3653
(937) 399-8311
Mailing address
6740 SPOKANE DR, HUBER HEIGHTS, OH 45424-2246
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
08283
OH
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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