DONALD WILLIS

ROSWELL, NM
NPI1750347076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  A-822-85)
Enumeration Date2006-04-25
Last Update Date2007-07-08
Business Address
DONALD WILLIS DO
313 W COUNTRY CLUB RD SUITE # 9
ROSWELL, NM 88201-5804
Phone number: 505-624-1333
Mailing Address
DONALD WILLIS DO
1306 N GUADALUPE ST
CARLSBAD, NM 88220-4676
Phone number: 505-887-8887