Individual provider · Type 1 NPI

Jeffrey Ryuta Willis, MD, PhD

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1023301330 Active

Practice location

4860 Y St Ste 2400
Sacramento, CA 95817-2307

Call (916) 734-6602 Map

Fax (916) 734-6602

Mailing address

6565 N Charles St Ste 203
Baltimore, MD 21204-5805

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XA123650 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

34 other providers at this address

Other student in an organized health care education/training program providers in Sacramento

See all in Sacramento →

About NPI 1023301330

Jeffrey Ryuta Willis, MD, PhD's National Provider Identifier is 1023301330, issued on May 18, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Mar 31, 2015.