Charla Rae Willis, MD

NPI #1497846091 in Lewiston, Idaho

Provider Information

NPI Number: 1497846091
Entity Type: Individual
Name: Charla Rae Willis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 27, 2006
Last Updated: Mar 7, 2016

Practice Location

Address: 2315 8TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-7301
Phone: (208) 746-1383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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