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Willard Dere, M.D
NPI 1003286758 · on the registry since 2015 · sole proprietor
Practice
- Address
- 500 Foothill Blvd
Salt Lake City, UT 84148 - Phone
- (801) 582-1565
- Organisation at this address
- Salt Lake City Vamc
Salt Lake City Vamc
Salt Lake City Vamc
Salt Lake City V.A. Laboratory
Va Health Care System, Salt Lake City, UtInferred from a shared address, not stated in the registry. - Clinicians at this address
- 211
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah