Dr. Matthew Clifford Willett, M.D.
Dermatology in Camp Pendleton, CA. Individual provider (NPI-1).
NPI number1720328107
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1720328107
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Clifford Willett
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2013
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 132174 | CA | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 132174 | CA |
Practice location
Naval Hospital Camp Pendleton200 Mercy Circle
Camp Pendleton, CA 92055-5191
Phone 760-719-3249
Mailing address
Po Box 555191Camp Pendleton, CA 92055-5191
Phone 760-719-3249
Other practice locations
10820 N Torrey Pines Rd
La Jolla, CA 92037-1036
La Jolla, CA 92037-1036
Phone 858-554-8646
36867 Cook St Ste 101
Palm Desert, CA 92211-6064
Palm Desert, CA 92211-6064
Phone 760-341-1999 · Fax 760-341-1997
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