Individual provider · Type 1 NPI

Willie Earl Sallis, PA

Physician Assistant · Fort Rucker, AL

NPI number 1689606709 Active

Practice location

301 Andrews Ave, Lyster Army Health Clinic Blding
Fort Rucker, AL 36362-0701

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 1689606709

Willie Earl Sallis, PA's National Provider Identifier is 1689606709, issued on Jul 7, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Rucker, AL. The record was last updated on Nov 5, 2025.