Individual
BEAU WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2520 HARVARD AVE FL 1, METAIRIE, LA 70001-1172
(504) 454-3004
(504) 454-3075
Mailing address
2520 HARVARD AVE, METAIRIE, LA 70001-1172
(504) 454-3004
(504) 454-3075
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
307117
LA
Other
Enumeration date
04/15/2014
Last updated
06/18/2024
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