Individual
BRIAN R WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 269-2737
Mailing address
4905 N OBERLIN ST, PORTLAND, OR 97203-4454
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD14882
OR
207RI0008X
Hepatology Physician
Primary
204276
AK
Other
Enumeration date
08/24/2006
Last updated
02/02/2024
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