Individual provider · Type 1 NPI

Michael B. Willis, PA

Physician Assistant · Shreveport, LA

NPI number 1164854154 Active

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Call (318) 675-5000 Map

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164854154

Michael B. Willis, PA's National Provider Identifier is 1164854154, issued on Aug 1, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shreveport, LA. The record was last updated on Aug 1, 2013.