Individual
ROY EUGENE WILLS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5559
Mailing address
125 1ST AVE, SOUTH CHARLESTON, WV 25303-1445
(304) 744-6549
(304) 744-6549
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
075656
WV
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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