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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508561952

Timothy John Willis, DO is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Works from 2 locations. Licensed in Arizona and New Mexico.

Licensed in
AZ, NM
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

MSC10 5590 1 University Of New Mexico
Albuquerque, NM 81731-0001
Phone: (505) 272-2345
Fax: (505) 272-2374

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 5301 E Grant Rd, Tucson, AZ 85712-2805 — (520) 324-5096

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AZ)

Record details

NPI number1508561952
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address2130 N Star Glory Pl, Tucson, AZ 85715-6815

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