Provider Demographics
NPI:1699320770
Name:WILLOWS, DONALD JASON (PA-C)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:JASON
Last Name:WILLOWS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 E MEDICAL CENTER DR STE 4100
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2156
Mailing Address - Country:US
Mailing Address - Phone:435-251-2800
Mailing Address - Fax:435-251-2801
Practice Address - Street 1:1380 E MEDICAL CENTER DR STE 4100
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2156
Practice Address - Country:US
Practice Address - Phone:435-251-2800
Practice Address - Fax:435-251-2801
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant