FRED S WILLIS

SHREVEPORT, LA
NPI1235131665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  020188)
Enumeration Date2005-08-15
Last Update Date2024-12-12
Business Address
FRED S WILLIS MD
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4500
Mailing Address
FRED S WILLIS MD
PO BOX 32600
SHREVEPORT, LA 71130-2600
Phone number: 318-212-4877
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