Dr Thomas M Willis, MD | |
Us Hwy 491 North, Shiprock, NM 87420 | |
(505) 368-6401 | |
(505) 368-6431 |
Full Name | Dr Thomas M Willis |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | Us Hwy 491 North, Shiprock, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235128091 | NPI | - | NPPES |
706179 | Medicaid | AZ | |
01238161 | Medicaid | CO | |
U2721 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 23816 (Colorado) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas M Willis, MD Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6401 | Dr Thomas M Willis, MD Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6401 |
Dr. Francis James Peisel Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Glenn S Hartig, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Mr. Paul David Johenk, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Margaret Lou Miller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 |