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DR. WILLARD DERE M.D.
NPI 1003286758
Internal Medicine in Salt Lake City, UT

Active since October 06, 2015
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Willard Dere M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLARD DERE M.D. (NPI 1003286758) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Indiana (01038107A) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1003286758
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WILLARD DERECredential: M.D.
Location Address500 FOOTHILL BLVDSalt Lake City, UT 84148-0001
Mailing Address15 N 2030 E, Room 2160aSalt Lake City, UT 84112-5339 · (801) 585-2516
Phone(801) 582-1565
Sole ProprietorYes
Enumeration DateOctober 6, 2015
✔ NPI 1003286758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01038107A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 FOOTHILL BLVD, Salt Lake City, UT 84148
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID SCOTT ARCHIBALD PA
Physician Assistant (Medical)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
DR. MICHAEL REED SLATER D.D.S.
Dentist (General Practice)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 584-1206
DR. STEPHANIE A CARNEY MD
Internal Medicine
500 FOOTHILL BLVD, MAILCODE 110
SLC, UT 84148
Salt Lake County (801) 582-1565
MR. KEVIN B RAFF LCSW
Social Worker (Clinical)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
REBECCA HENKELS PHARMD
Pharmacist
500 FOOTHILL BLVD
SLC, UT 84148
Salt Lake County (801) 582-1565
DR. DELANEY DAWN GLAZIER DDS
Student in an Organized Health Care Education/Training Program
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 584-1206
MS. MAXINE JAN MILLER
Pharmacist
500 FOOTHILL BLVD
SLC, UT 84148
Salt Lake County (801) 582-4565
SALT LAKE CITY VAMC
General Acute Care Hospital
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (913) 578-4409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willard Dere's NPI number?

The NPI number for Willard Dere is 1003286758. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Willard Dere located?

Willard Dere practices at 500 Foothill Blvd, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Willard Dere's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Willard Dere was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.