Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Richard Blair Willis, MD

Individual provider Diagnostic Radiology Physician · NPI 1366883324

Dr. Richard Blair Willis, MD is a Diagnostic Radiology in Farmington, Utah. Qualified in 2013, 13 years ago. Practices with Tooele Valley Imaging LLC, a 24-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1433 N 1075 W Ste 104
Farmington, UT 84025-2746
Phone: (801) 298-1300
Fax: (801) 296-6199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1175 E 50 S Ste 141, American Fork, UT 84003-2845 — (801) 812-4624
  • 1055 N 500 W Ste 112, Provo, UT 84604-3305 — (801) 812-4624

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 10730676-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366883324
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2013
Last updated in NPPESAugust 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Tooele Valley Imaging Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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