Individual
BRIAN J WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150 E 3RD AVE STE 100, DENVER, CO 80206-5248
(303) 320-5700
(303) 322-6129
Mailing address
3150 E 3RD AVE STE 100, DENVER, CO 80206-5248
(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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28836235
—
CO
05
—
60008067
—
CO
Enumeration date
07/25/2006
Last updated
08/02/2024
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