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1487733036
MATTHEW WILLIS
FORT DEFIANCE, AZ
NPI
1487733036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 221827)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
-- MATTHEW WILLIS MD
FORT DEFIANCE PHS HOSPITAL CORNER OF RT N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
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Mailing Address
-- MATTHEW WILLIS MD
PO BOX 885
FORT DEFIANCE, AZ 86504-0885
Phone number:
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