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1235331802
ROBERT WILLIS
IDAHO FALLS, ID
NPI
1235331802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-456)
Enumeration Date
2007-06-04
Last Update Date
2015-03-04
Business Address
-- ROBERT WILLIS PA-C
3425 MERLIN DR SUITE 200
IDAHO FALLS, ID 83404-7430
Phone number: 208-528-6653
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Mailing Address
-- ROBERT WILLIS PA-C
1240 GRASSLAND DR
IDAHO FALLS, ID 83404-8293
Phone number: 208-528-0316
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