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Search › Utah › 207Q00000X

Park Willis, M.D

NPI 1083907679 · on the registry since 2011 · sole proprietor

Practice

Address
389 S 900 E
Salt Lake City, UT 84102
Phone
(385) 282-2400
Fax
(385) 282-2401
Organisation at this address
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
110

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah