person
Dr. John A. Willis, MD
Diagnostic Radiology Physician in Charleston, West Virginia
NPI 1437153939

John A. Willis is a Diagnostic Radiology Physician based in Charleston, WV and is specialized in Diagnostic Radiology. John A. Willis practices in Charleston, WV and has the professional credentials of MD. The NPI Number for John A. Willis is 1437153939 and holds a License No. 15995 (West Virginia).

The current practice location address for John A. Willis is 1538 Kanawha Blvd E, Charleston, WV and can be reached out via phone at 304-344-3457 and via fax at 304-344-3480.

Location: 1538 Kanawha Blvd E, Charleston, WV, 25339-1137
person
Provider Profile Details
NPI Number
1437153939
Provider Name
John A. Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1538 Kanawha Blvd E, Charleston, WV, 25339-1137
Phone Number
304-344-3457
Fax Number
304-344-3480
Provider Enumeration Date
06/13/2005
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
550516458 05 WV
64942089 05 KY
0828199 05 OH
0120054000 05 WV
151237200 01 WV US DOL & US POSTAL COMP
E67388 01 WV BRICKSTREET INSURANCE
0130753 01 WV UMWA
020011800 01 WV FEDERAL BLACK LUNG
14175 05 WV
14193 01 WV CARELINK & CARELINK PEIA
550516458 01 WV ACORDIA NATIONAL PEIA
001325206 01 WV FREEDOM BLUE & MS BC BS
55-0516458 01 WV GROUP FEIN #
institution
Provider Business Practice Location Address Details
Address
1538 Kanawha Blvd E
City
State
Zip
25311-2435
Phone Number
304-344-3457
Fax Number
304-344-3480
person
Provider Business Mailing Address Details
Address
1538 Kanawha Blvd E
City
State
Zip
25311-2435
Phone Number
304-344-3457
Fax Number
304-344-3480
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
15995 (West Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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