Individual
JOHN JEFFERY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5100
(417) 681-5510
Mailing address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5100
(417) 681-5510
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006005527
MO
Other
Enumeration date
07/21/2006
Last updated
05/10/2018
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