person
Robert Willis, PA-C
Medical Physician Assistant in Idaho Falls, Idaho
NPI 1235331802

Robert Willis is a Medical Physician Assistant based in Idaho Falls, ID and is specialized in Medical. Robert Willis practices in Idaho Falls, ID and has the professional credentials of PA-C. The NPI Number for Robert Willis is 1235331802 and holds a License No. PA-456 (Idaho).

The current practice location address for Robert Willis is 3425 Merlin Dr, Idaho Falls, ID and can be reached out via phone at 208-528-6653. You can also correspond with Robert Willis through the mailing address at 1240 GRASSLAND DR, IDAHO FALLS, ID - 83404-8293 (mailing address contact number: 208-528-0316).

Location: 3425 Merlin Dr, Idaho Falls, ID, 83404-8293
person
Provider Profile Details
NPI Number
1235331802
Provider Name
Robert Willis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3425 Merlin Dr, Idaho Falls, ID, 83404-8293
Phone Number
208-528-6653
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3425 Merlin Dr
City
State
Zip
83404-7430
Phone Number
208-528-6653
Fax Number
person
Provider Business Mailing Address Details
Address
3425 Merlin Dr
City
State
Zip
83404-7430
Phone Number
208-528-6653
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-456 (Idaho)
Definition
Definition to come...
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