Dr. Reginald Douglas Wills
Family Doctor - Adult Medicine
1263 Evarts St Ne
Washington
, District of Columbia 20018-3710
Dr. Reginald Douglas Wills
Family Doctor - Adult Medicine
1263 Evarts St Ne
Washington
, District of Columbia 20018-3710
(202) 529-4425
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Reginald Douglas Wills
- 1263 Evarts St Ne
- Washington, DC
- Zip : 20018-3710
- Fax : (202) 529-4425
- Phone : (202) 635-1600
Second Address
- Dr. Reginald Douglas Wills
- 1263 Evarts St Ne
- Washington, DC
- Zip : 20018-3710
- Fax : (202) 529-4425
- Phone : (202) 635-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | MD8436 | DC |
National Provider Identifier
| NPI | 1124151683 |
|---|---|
| Provider Name | Dr. Reginald Douglas Wills |
| First Address | Washington, DC 20018-3710 |
| Second Address | Washington, DC 20018-3710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C62510 | (02) | DC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.