OrganizationActive
James W Willoughby II DO PC
NPI 1396015095 · Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Liberty, MO
Provider details
- NPI number
- 1396015095
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Willoughby, Owner(816) 781-0902
- License
- 37014 (MO)
Specialties & taxonomies
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianPrimary207KI0005XLicense 37014 (MO)
Allopathic & Osteopathic Physicians
Practice location
24-26 S Main St
Ste a
Liberty, MO 64069
Phone: (816) 781-0902
Approximate (ZIP-level) locationGet directions
Mailing address
24-26 S Main St
Liberty, MO 64069
Other names (DBA / former)
- Doing business as
- Liberty Holistic Medicine Center
Registry dates
- Enumerated
- 2012-01-11
- Last updated
- 2012-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.