| James L Willis Do Pa | |
|
524 W James Lee Blvd Crestview FL 32536-5129 | |
| (850) 682-6143 | |
| (850) 682-0227 |
| Full Name | James L Willis Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 524 W James Lee Blvd, Crestview, Florida |
| Authorized Official Name and Position | James L Willis (PHYSICIAN) |
| Authorized Official Contact | 8506826143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James L Willis Do Pa 524 W James Lee Blvd Crestview FL 32536-5129 Ph: (850) 682-6143 | James L Willis Do Pa 524 W James Lee Blvd Crestview FL 32536-5129 Ph: (850) 682-6143 |
| NPI Number | 1710173638 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710173638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8915 (Florida) | Primary |
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