DONOVAN SCOTT WILLIS

FORT SMITH, AR
NPI1558460295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C01497)
Enumeration Date2006-09-21
Last Update Date2009-05-21
Business Address
Mr. DONOVAN SCOTT WILLIS CRNA
3002 ROGERS AVE
FORT SMITH, AR 72901-4232
Phone number: 479-785-2555
Mailing Address
Mr. DONOVAN SCOTT WILLIS CRNA
PO BOX 11405
FORT SMITH, AR 72917-1405
Phone number: 479-785-2555