Individual provider · Type 1 NPI

Robert Willis, PA-C

Medical Physician Assistant · Idaho Falls, ID

NPI number 1235331802 Active

Practice location

3425 Merlin Dr, Suite 200
Idaho Falls, ID 83404-7430

Call (208) 528-6653 Map

Mailing address

1240 Grassland Dr
Idaho Falls, ID 83404-8293

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-456 (ID)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1235331802

Robert Willis, PA-C's National Provider Identifier is 1235331802, issued on Jun 4, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 4, 2015.