Mary Jane Hall Willis in San Diego - Pediatrics
Mary Jane Hall Willis - NPI 1104998053
Mary Jane Hall Willis is a Pediatrics in San Diego, California. Mary Jane Hall Willis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Jane Hall Willis is 1104998053. The last update date is 2023-03-03.
Mary Jane Hall Willis's current location address is 34520 Bob Wilson Dr, San Diego, California. You can contact this provider via phone number 6195326896 and fax number 6195329184. The mailing address for Mary Jane Hall Willis is 34520 Bob Wilson Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Hall Willis |
|---|---|
| Address | 34520 Bob Wilson Dr, San Diego, California |
| Phone Number | 6195326896 |
| Fax Number | 6195329184 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104998053 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2023-03-03 |
Provider Mailing Address Detail
| Address | 34520 Bob Wilson Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921342098 |
| Phone Number | 6195326896 |
| Fax Number | 6195329184 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | A75301 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A753010 | CA | -- |
Post Comment/ Review Below
What is the Mary Jane Hall Willis's unique identification number?
The Mary Jane Hall Willis has been assigned the NPI (National Provider Identifier) Number 1104998053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mary Jane Hall Willis's facilities are geographically located?
The facilities of Mary Jane Hall Willis are physically situated at the following location: 34520 Bob Wilson Dr, San Diego, CA, 921342098.
What is Mary Jane Hall Willis's area of expertise and its corresponding taxonomy classification?
The Mary Jane Hall Willis's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
When was the Mary Jane Hall Willis's 1104998053 issued?
The Mary Jane Hall Willis's 1104998053 was issued on 2006-11-15.
When was the information regarding Mary Jane Hall Willis most recently updated?
The details pertaining to the Mary Jane Hall Willis, including its address, specialty, and other relevant information, were last refreshed on 2023-03-03.