Individual
BARBARA LILLIAN WIDMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
352 GLEN ELLEN DR, VENTURA, CA 93003-1732
(805) 642-1506
Mailing address
352 GLEN ELLEN DR, VENTURA, CA 93003-1732
(805) 642-1506
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E27470
—
CA
Enumeration date
06/21/2005
Last updated
07/08/2007
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