Matthew Willis, MD

NPI #1487733036 in Fort Defiance, Arizona

Provider Information

NPI Number: 1487733036
Entity Type: Individual
Name: Matthew Willis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: FORT DEFIANCE PHS HOSPITAL
Address 2: CORNER OF RT N12 AND N7
City: Fort Defiance
State: Arizona
ZIP Code: 86504
Phone: (928) 729-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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