Individual provider · Type 1 NPI
Bradley Willis
Veterinarian · Athens, IL
NPI number
1922419605
Active
Practice location
105 N Main St
Athens, IL 62613-8901
Mailing address
PO Box 65
Athens, IL 62613-0065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Veterinarian Primary | 174M00000X | 090008708 (IL) |
Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
About NPI 1922419605
Bradley Willis's National Provider Identifier is 1922419605, issued on May 15, 2014. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Athens, IL. The record was last updated on May 15, 2014.