MICHAEL B WILLIS

SHREVEPORT, LA
NPI1164854154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2013-08-01
Last Update Date2013-08-01
Business Address
-- MICHAEL B WILLIS PA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
Mailing Address
-- MICHAEL B WILLIS PA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-675-5000