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1912111097
ERICK J WILLIS
HUNTINGTON, WV
NPI
1912111097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WV 23279)
Additional Taxonomies
208000000X Pediatrics
(Licence: WV 99999)
Enumeration Date
2007-05-09
Last Update Date
2021-04-22
Business Address
ERICK J WILLIS MD
2828 FIRST AVENUE SUITE 305
HUNTINGTON, WV 25702
Phone number: 304-399-7565
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Mailing Address
ERICK J WILLIS MD
PO BOX 4190
BARBOURSVILLE, WV 25504-4190
Phone number: 304-399-4405
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