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Organization
JAMES L WILLIS DO PA
Active
Organization
JAMES L WILLIS DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L WILLIS DO (PHYSICIAN)
(850) 682-6143
Entity
Organization
Contact information
Practice address
524 W JAMES LEE BLVD, CRESTVIEW, FL 32536-5129
(850) 682-6143
(850) 682-0227
Mailing address
524 W JAMES LEE BLVD, CRESTVIEW, FL 32536-5129
(850) 682-6143
(850) 682-0227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8915
FL
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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