Individual
DR. WILLIS R PAUL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4121 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2607
(877) 257-6272
(412) 343-3769
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3155
(412) 359-3483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN252958L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001942022
—
PA
Enumeration date
02/21/2006
Last updated
11/19/2020
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