NPI | 1063619567 |
---|---|
Doing Business As | WILLIS CLINIC PLLC |
Entity Type | Organization |
Authorized Contact | TIMOTHY W WILLIS COO/Practice Manager 870-563-2545 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR E5031) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2021-01-20 |