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Carl Willingham, HIS
NPI 1154696300 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2757 S Clark St Ste B
Mexico, MO 65265 - Phone
- (573) 581-6633
- Fax
- (573) 581-9998
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-20
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 Missouri