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Dr. Willard Dere

Internist

500 Foothill Blvd
Salt Lake City , Utah 84148-0001

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Dr. Willard Dere

Internist

500 Foothill Blvd
Salt Lake City , Utah 84148-0001

(801) 585-2516

Write a Review Save Call

Dr. Willard Dere

Internist

500 Foothill Blvd
Salt Lake City , Utah 84148-0001

(801) 585-2516 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist

Languages spoken

  • English

Location

500 Foothill Blvd Salt Lake City , Utah 84148-0001

First Address

  • Dr. Willard Dere
  • 15 N 2030 E Room 2160a
  • Salt Lake City, UT
  • Zip : 84112-5339
  • Phone : (801) 585-2516

Second Address

  • Dr. Willard Dere
  • 500 Foothill Blvd
  • Salt Lake City, UT
  • Zip : 84148-0001
  • Phone : (801) 582-1565

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FAQs


Where did Dr. Willard Dere attend graduate school?

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Where did Dr. Willard Dere do his residency?

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Where did Dr. Willard Dere do his fellowship?

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Is Dr. Willard Dere board certified?

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What type of doctor is Dr. Willard Dere

Internist

In what state does Dr. Willard Dere practice in?

Utah

Where is Dr. Willard Dere ’s practice located?

500 Foothill Blvd , Salt Lake City, Utah, 84148-0001

What is Dr. Willard Dere ’s gender?

Male

Is Dr. Willard Dere a sole practitioner?

No

Is Dr. Willard Dere accepting new patients?

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What languages does Dr. Willard Dere speak?

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Does Dr. Willard Dere accept insurance?

Yes, Dr. Willard Dere accepts insurance

Does Dr. Willard Dere offers telemedicine?

Dr. Willard Dere has not indicated if he offers telemedicine

What is Dr. Willard Dere ’s professional license number?

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What is Dr. Willard Dere ’s NPI number?

1003286758

Does Dr. Willard Dere have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207R00000X Internist 01038107A IN
Y 111NI0900X Internist 01038107A IN

National Provider Identifier

NPI 1003286758
Provider Name Dr. Willard Dere
First Address Salt Lake City, UT 84112-5339
Second Address Salt Lake City, UT 84148-0001
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 06/10/2015
Last Update Date 06/10/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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