Chad D. Willis, D.o., P.c.

NPI #1174844864 in Lawton, Oklahoma

Provider Information

NPI Number: 1174844864
Entity Type: Organization
Organization Name: Chad D. Willis, D.o., P.c.
Primary Specialty: Otolaryngology
Enumeration Date: Jun 16, 2010
Last Updated: Jun 16, 2010

Practice Location

Address: 5402 SW LEE BLVD
City: Lawton
State: Oklahoma
ZIP Code: 73505-9521
Phone: (580) 531-0022

Authorized Official

Name: MRS. THERESE A SIMON
Title: CRENTIALING
Phone: (580) 531-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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