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

Dr. Willard Dere, MD

Individual provider Internal Medicine Physician · NPI 1003286758

Dr. Willard Dere, MD is an Internal Medicine Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

500 Foothill Blvd
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01038107A (IN)

Record details

NPI number1003286758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 6, 2015
Last updated in NPPESOctober 6, 2015

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