Robert Willis, PA-C
NPI #1235331802 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1235331802
- Entity Type
- Individual
- Name
- Robert Willis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jun 4, 2007
- Last Updated
- Mar 4, 2015
Practice Location
- Address
- 3425 MERLIN DR
- Address 2
- SUITE 200
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7430
- Phone
- (208) 528-6653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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