ROBERT WILLIS

IDAHO FALLS, ID
NPI1235331802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-456)
Enumeration Date2007-06-04
Last Update Date2015-03-04
Business Address
-- ROBERT WILLIS PA-C
3425 MERLIN DR SUITE 200
IDAHO FALLS, ID 83404-7430
Phone number: 208-528-6653
Mailing Address
-- ROBERT WILLIS PA-C
1240 GRASSLAND DR
IDAHO FALLS, ID 83404-8293
Phone number: 208-528-0316
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