person
Rudolph E Willis, MD
Hematology & Oncology Physician in Portsmouth, Virginia
NPI 1831194216

Rudolph E Willis is a Hematology & Oncology Physician based in Portsmouth, VA and is specialized in Hematology & Oncology. Rudolph E Willis practices in Portsmouth, VA and has the professional credentials of MD. The NPI Number for Rudolph E Willis is 1831194216 and holds a License No. 0101233411 (Virginia).

The current practice location address for Rudolph E Willis is 355 Crawford St, Portsmouth, VA and can be reached out via phone at 757-396-6333 and via fax at 757-396-6367.

Location: 355 Crawford St, Portsmouth, VA, 23704-2819
person
Provider Profile Details
NPI Number
1831194216
Provider Name
Rudolph E Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
355 Crawford St, Portsmouth, VA, 23704-2819
Phone Number
757-396-6333
Fax Number
757-396-6367
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89067J2 01 NC NC MEDICAID
P00013926 01 VA RAILROAD MEDICARE
437204 01 VA ANTHEM BCBS
59557 01 VA OPTIMA HEALTH PLAN
374935 01 VA MAMSI/MDIPA
institution
Provider Business Practice Location Address Details
Address
355 Crawford St
City
State
Zip
23704-2819
Phone Number
757-396-6333
Fax Number
757-396-6367
person
Provider Business Mailing Address Details
Address
355 Crawford St
City
State
Zip
23704-2819
Phone Number
757-396-6333
Fax Number
757-396-6367
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
0101233411 (Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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