Individual provider · Type 1 NPI
Timothy John Willis, DO
Student in an Organized Health Care Education/Training Program · Albuquerque, NM
Practice location
MSC10 5590 1 University Of New Mexico
Albuquerque, NM 81731-0001
Fax (505) 272-2374
Mailing address
2130 N Star Glory Pl
Tucson, AZ 85715-6815
Other practice locations
- 5301 E Grant Rd, Tucson, AZ 85712-2805 · (520) 324-5096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1508561952
Timothy John Willis, DO's National Provider Identifier is 1508561952, issued on Apr 4, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 13, 2026.