Individual
WILLIS BON BARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 MEDICAL LN, SUITE 100, FORT MYERS, FL 33907-1143
(239) 275-1164
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(239) 275-1164
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME127490
FL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/08/2010
Last updated
10/11/2016
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