Individual
ALLIRIC I. WILLIS
Active
Individual
ALLIRIC I. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD424463
PA
2086X0206X
Surgical Oncology Physician
Primary
MD424463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016680610001
—
PA
05
—
1016680610004
—
PA
01
—
1621481
PERSONAL CHOICE
PA
01
—
2298641000
KEYSTONE IBC
PA
01
—
30032812
KEYSTONE MERCY
PA
01
—
35488
HEALTH PARTNERS
PA
01
—
5810126
AETNA HMO
PA
01
—
P00385401
RAILROAD MEDICARE
PA
Enumeration date
07/07/2006
Last updated
08/17/2015
Update your record
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