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1083907679
PARK WEED WILLIS
SALT LAKE CITY, UT
NPI
1083907679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 8471563-1205)
Enumeration Date
2011-05-16
Last Update Date
2018-07-23
Business Address
PARK WEED WILLIS M.D.
389 S 900 E
SALT LAKE CITY, UT 84102
Phone number: 385-282-2400
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Mailing Address
PARK WEED WILLIS M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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