NPI 1770014516

James Thomas Willmore, DPM

Practitioner Foot & Ankle Surgery Podiatrist Providence, UT

Practice location

Address: 435 N Gateway Dr STE 801, Providence, UT 84332-9004
Phone: (435) 787-1023

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 11690691-0501 (UT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1770014516
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2017
Record last updated: 29 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.