Individual
DR. GREGORY S WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1703 INNOVATION DR STE 2001, YORK, PA 17408-8815
(717) 801-0739
(717) 801-0645
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
OS009400L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001722360
—
PA
Enumeration date
11/10/2005
Last updated
01/23/2021
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