JAMES W WILLOUGHBY II DO PC; NPI #1396015095

Contact Information

JAMES W WILLOUGHBY II DO PC

24-26 S MAIN ST
STE A
LIBERTY, MO 64069

Phone: 816-781-0902
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinical & Laboratory Immunology	207KI0005X	03	Physician/Allergy/ Immunology

Indicates primary specialty

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NPI Profile & details for JAMES W WILLOUGHBY II DO PC

NPI # 1396015095

LBN Legal business name JAMES W WILLOUGHBY II DO PC

Authorized official JAMES WILLOUGHBY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/11/2012

Last updated 01/11/2012 - About 14 years ago

Identifiers

License #

37014

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JAMES W WILLOUGHBY II DO PC

Contact Information

Specialty

Clinical & Laboratory Immunology

NPI Profile & details for JAMES W WILLOUGHBY II DO PC

Reviews for JAMES W WILLOUGHBY II DO PC