person
Beau Willis, DPM
Foot & Ankle Surgery Podiatrist in Metairie, Louisiana
NPI 1396164679

Beau Willis is a Foot & Ankle Surgery Podiatrist based in Metairie, LA and is specialized in Foot & Ankle Surgery. Beau Willis practices in Metairie, LA and has the professional credentials of DPM. The NPI Number for Beau Willis is 1396164679 and holds a License No. 307117 (Louisiana).

The current practice location address for Beau Willis is 2520 Harvard Ave Fl 1, Metairie, LA and can be reached out via phone at 504-454-3004 and via fax at 504-454-3075.

Location: 2520 Harvard Ave Fl 1, Metairie, LA, 70001-1172
person
Provider Profile Details
NPI Number
1396164679
Provider Name
Beau Willis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2520 Harvard Ave Fl 1, Metairie, LA, 70001-1172
Phone Number
504-454-3004
Fax Number
504-454-3075
Provider Enumeration Date
04/15/2014
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
2520 Harvard Ave Fl 1
City
State
Zip
70001-1172
Phone Number
504-454-3004
Fax Number
504-454-3075
person
Provider Business Mailing Address Details
Address
2520 Harvard Ave Fl 1
City
State
Zip
70001-1172
Phone Number
504-454-3004
Fax Number
504-454-3075
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
307117 (Louisiana)
Definition
Definition to come...
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