| Willcoll, Llc | |
|
9695 S Yosemite St #377 Lone Tree CO 80124-2888 | |
| (303) 814-1340 | |
| (303) 814-1134 |
| Full Name | Willcoll, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 9695 S Yosemite St, Lone Tree, Colorado |
| Authorized Official Name and Position | Lloyd Wesley Mobley (OWNER) |
| Authorized Official Contact | 7209855899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willcoll, Llc 9695 S Yosemite St #377 Lone Tree CO 80124-2888 Ph: (303) 814-1340 | Willcoll, Llc 9695 S Yosemite St #377 Lone Tree CO 80124-2888 Ph: (303) 814-1340 |
| NPI Number | 1558789495 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558789495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 20141104585 (Colorado) | Primary |
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