DR. Mark L Willis, MD

NPI #1740269612 in Dothan, Alabama

Provider Information

NPI Number: 1740269612
Entity Type: Individual
Name: DR. Mark L Willis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Credential: MD
Enumeration Date: Jan 10, 2006
Last Updated: May 11, 2017

Practice Location

Address: 208 HAVEN DR
Address 2: SOUTHEAST PAIN MGMT CENTER
City: Dothan
State: Alabama
ZIP Code: 36301-2909
Phone: (334) 793-8196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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Organizations

Provider Name	Specialty	City
Edgewater Pain and Wellness LLC	Pain Medicine - Interventional Pain Medicine	Dothan	AI Deep Dive

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