Individual
WILLIE EARL SALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC BLDING, FORT RUCKER, AL 36362-0701
(334) 255-7349
Mailing address
301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC BLDING, FORT RUCKER, AL 36362-0701
(334) 255-7349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
11/05/2025
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