Individual provider · Type 1 NPI

Stuart Kendall Willis Iii, MD

Emergency Medicine Physician · Bonners Ferry, ID

NPI number 1679649396 Active

Practice location

6640 Kaniksu St
Bonners Ferry, ID 83805-7532

Fax (208) 267-2202

Mailing address

Hcr 85 Box 8133
Bonners Ferry, ID 83805-7532

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XM9300 (ID)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1679649396

Stuart Kendall Willis Iii, MD's National Provider Identifier is 1679649396, issued on Nov 27, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Bonners Ferry, ID. The record was last updated on Mar 7, 2023.