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Individual

ERIN K. WILLITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2121 E HARMONY RD UNIT 290, FORT COLLINS, CO 80528-3402
(970) 221-2370
(970) 221-9654
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
12626A
WY
207K00000X
Allergy & Immunology Physician
Primary
DR.0063320
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10027193200
NE
05
155603700
WY
01
883496
MEDICARE PTAN
CO
05
9000177898
CO
01
W31876
MEDICARE PTAN
WY
Enumeration date
06/29/2012
Last updated
10/18/2023
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