| Stuart Kendall Willis Iii, MD | |
|
6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | |
| (208) 267-4850 | |
| (208) 267-2202 |
| Full Name | Stuart Kendall Willis Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 6640 Kaniksu St, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679649396 | NPI | - | NPPES |
| M9300 | Other | ID | ID B OF M |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M9300 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Kendall Willis Iii, MD Hcr 85 Box 8133, Bonners Ferry, ID 83805-7532 Ph: (208) 267-6365 | Stuart Kendall Willis Iii, MD 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-4850 |
Mark Pruitt, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 | |
Robert Yost, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Boundar Community Hospital, Bonners Ferry, ID 83805 Phone: 208-267-3141 | |
William Lamont Worden, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202 | |
Dr. Edward Gregory Moellmer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202 | |
Dr. Kenton Bing-hock Goh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202 |