James L Willis Do PA

NPI #1710173638 in Crestview, Florida

Provider Information

NPI Number
1710173638
Entity Type
Organization
Organization Name
James L Willis Do PA
Primary Specialty
Family Medicine
Enumeration Date
Sep 25, 2007
Last Updated
Sep 25, 2007

Practice Location

Address
524 W JAMES LEE BLVD
State
Florida
ZIP Code
32536-5129
Phone
(850) 682-6143

Authorized Official

Name
DR. JAMES L WILLIS, DO
Title
PHYSICIAN
Phone
(850) 682-6143

Specialties & Taxonomy Codes

Specialty
Family Medicine

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