Individual provider · Type 1 NPI

Beau Willis, DPM

Foot & Ankle Surgery Podiatrist · Metairie, LA

NPI number 1396164679 Active

Practice location

2520 Harvard Ave Fl 1
Metairie, LA 70001-1172

Fax (504) 454-3075

Mailing address

2520 Harvard Ave
Metairie, LA 70001-1172

Other practice locations

  • 37292 Market Place Dr Ste B, Prairieville, LA 70769-3487 · (225) 744-3668
  • 71121 Highway 21 Ste A, Covington, LA 70433-7176 · (985) 809-1464

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X307117 (LA)

Foot & Ankle Surgery Podiatrist: Definition to come...

7 other providers at this address

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About NPI 1396164679

Beau Willis, DPM's National Provider Identifier is 1396164679, issued on Apr 15, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Metairie, LA. The record was last updated on Jun 18, 2024.