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Contact Information

GARY M WILLARD, MD
2588F EL CAMINO REAL STE 127
CARLSBAD, CA92008-1201
 Phone: 619-564-4644
 Fax: 619-810-2430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GARY M WILLARD · (Male)

NPI # 1588780373
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2007
Last updated 10/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A34995
  • NY License # 254000
  • CA Medicaid 03132152
  • CA Other FE799Z MEDICARE ID
Hospital affiliation(s) Not Available
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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