IndividualActive
Mark Willis, M.D.
NPI 1649423617 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Highlands Ranch, CO
Provider details
- NPI number
- 1649423617
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 51080 (CO)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 51080 (CO)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1500 Park Central Dr
Highlands Ranch, CO 80129-6688
Phone: (720) 848-0000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110429
Aurora, CO 80042-0429
Additional practice locations (1)
- 12605 E 16th AveAurora, CO 80045-2545Phone: (720) 848-0000
Registry dates
- Enumerated
- 2008-11-03
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.