| NPI | 1972520567 |
|---|---|
| Professional Name | WILLIAM WYATT WILLIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 1592) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 02719) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-08-12 |