Charlet Willis, PA

NPI #1144766775 in Marion, Ohio

Provider Information

NPI Number: 1144766775
Entity Type: Individual
Name: Charlet Willis, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 6, 2017
Last Updated: Apr 29, 2019

Practice Location

Address: 130 UNIVERSITY DR STE 1300
City: Marion
State: Ohio
ZIP Code: 43302-1104
Phone: (740) 692-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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