Willis Health Care Pllc

NPI #1447847538 in Pocatello, Idaho

Provider Information

NPI Number
1447847538
Entity Type
Organization
Organization Name
Willis Health Care Pllc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 23, 2020
Last Updated
Dec 23, 2020

Practice Location

Address
1350 CEDAR LAKE RD
State
Idaho
ZIP Code
83204-4946
Phone
(208) 705-2575

Authorized Official

Name
MARK G WILLIS, NP
Title
OWNER
Phone
(208) 705-2575

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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