Individual
JEFF R WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1930 W BROADWAY ST STE A, MISSOULA, MT 59808-1960
(406) 541-6844
(406) 541-6843
Mailing address
1930 W BROADWAY ST STE A, MISSOULA, MT 59808-1960
(406) 541-6844
(406) 541-6843
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101059226
VA
207RG0100X
Gastroenterology Physician
Primary
56022
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100012482
MEDICARE RR
VA
01
—
15750
OPTIMA
VA
01
—
1659563799
GROUP NPI
VA
01
—
327082
ANTHEM
VA
01
—
5426240
AETNA
VA
05
—
5825041
—
VA
05
—
8905530
—
NC
Enumeration date
06/15/2006
Last updated
10/07/2024
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