National Provider Identifier
Douglas Frank Willard, MD
Douglas Frank Willard, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Elmira, NY and a listed phone number of (607) 734-2984.
Profile Overview
- NPI
- 1184618035
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- September 07, 2005
- Last Updated
- January 20, 2012
Practice Location
- 207 Madison Ave
- Elmira, NY 14901-3204
Phone: (607) 734-2984
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1184618035
- Entity Type
- Individual
- Last Name
- Willard
- First Name
- Douglas
- Middle Name
- Frank
- Credential
- MD
- Mailing Street Address
- 207 Madison Ave
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3204
- Mailing Country
- US
- Mailing Phone
- (607) 734-2984
- Mailing Fax
- (607) 398-3411
- Practice Street Address
- 207 Madison Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3204
- Practice Country
- US
- Practice Phone
- (607) 734-2984
- Practice Fax
- (607) 398-3411
- Enumeration Date
- September 07, 2005
- Last Updated
- January 20, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 180012684 (Rr Medicare)