Individual provider · Type 1 NPI

Julie A. Willis, PA-C

Surgical Physician Assistant · St. Louis, MO

NPI number 1528033479 Active

Practice location

625 S New Ballas Rd, Suite R-7040
St. Louis, MO 63141-8232

Call (314) 251-6970 Map

Fax (314) 251-1053

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2001031727 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1528033479

Julie A. Willis, PA-C's National Provider Identifier is 1528033479, issued on Feb 22, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis, MO. The record was last updated on Sep 17, 2008.