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Contact Information

BRIAN E WILLMON, MD
2000 W 21ST ST
STE W-8
CLOVIS, NM88101
 Phone: 505-763-4479
 Fax: 505-763-6007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN E WILLMON · (Male)

NPI # 1336118645
Status Active
Credentials MD
Entity Individual
Enumeration date 03/17/2006
Last updated 10/21/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 86358
  • NM Medicaid 37572
Hospital affiliation(s)
  • PLAINS REGIONAL MEDICAL CENTER CLOVIS - (Acute Care)
    2100 N MARTIN LUTHER KING, JR, BLVD
    CLOVIS, NM 88101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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