Individual
DR. ROBERT E WILLETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 AIRPORT BLVD STE B222, MOBILE, AL 36608-6700
(251) 663-0663
(251) 663-6468
Mailing address
6701 AIRPORT BLVD STE B222, MOBILE, AL 36608-6700
(251) 663-0663
(251) 663-6468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9525
AL
208600000X
Surgery Physician
Primary
MD.9525
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018702
MEDICAID OF MISSISSIPPI
MS
01
—
020000385
TRAVELERS RR MEDICARE
—
01
—
051007227
BC BS ALABAMA
AL
01
—
1710048
UNITED HEALTHCARE
—
Enumeration date
11/08/2005
Last updated
02/11/2019
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