Individual
MRS. AUTUMN CORINA WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
211 SAINT FRANCIS DR STE 32121, CAPE GIRARDEAU, MO 63703-5049
(573) 339-8718
(573) 339-9543
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018030948
MO
363AM0700X
Medical Physician Assistant
085002848
IL
Other
Enumeration date
02/27/2007
Last updated
03/02/2021
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