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

Park Weed Willis, MD

Individual provider Family Medicine Physician · NPI 1083907679

Park Weed Willis, MD is a Family Practice in Salt Lake City, Utah. Graduated from Oregon Health Sciences University School of Medicine in 2011, 15 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
15
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
UT
In the registry since
2011
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

389 S 900 E
Salt Lake City, UT 84102
Phone: (385) 282-2400
Fax: (385) 282-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8471563-1205 (UT)

Record details

NPI number1083907679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 16, 2011
Last updated in NPPESJuly 23, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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