LUKE WILLIAM WILLIS

COLORADO SPRINGS, CO
NPI1588996243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2010-02-05
Last Update Date2010-02-05
Business Address
-- LUKE WILLIAM WILLIS IDMT
1965 SHAWNEE DR
COLORADO SPRINGS, CO 80915-1920
Phone number: 719-375-4057
Mailing Address
-- LUKE WILLIAM WILLIS IDMT
1965 SHAWNEE DR
COLORADO SPRINGS, CO 80915-1920
Phone number: