Individual
DR. BENJAMIN J. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2350 HOSPITAL DR, WEBSTER CITY, IA 50595-6600
(515) 832-7800
(515) 832-1123
Mailing address
PO BOX 430, WEBSTER CITY, IA 50595-0430
(515) 832-7800
(515) 832-1123
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
147
WY
213E00000X
Podiatrist
220
SD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
078225
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730438847
INDIVIDUAL NPI NUMBER
—
Enumeration date
09/05/2012
Last updated
03/22/2021
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