-- FRED S WILLIS MD ⚕️ Louisiana 1235131665

NPI	1235131665
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	207P00000X Emergency Medicine (Licence: LA 020188)
Enumeration Date	2005-08-15
Last Update Date	2014-06-04

-- FRED S WILLIS MD

2600 GREENWOOD RD

SHREVEPORT, LA 71103-3908

Phone number: 318-212-4500

-- FRED S WILLIS MD

PO BOX 32600

SHREVEPORT, LA 71130-2600

Phone number: 318-212-4877