SearchIdaho363AM0700X

Robert Willis, PA-C

NPI 1235331802 · on the registry since 2007

Practice

Address
3425 Merlin Dr
Suite 200
Idaho Falls, ID 83404
Phone
(208) 528-6653
Organisation at this address
Mark E Hinkson Dermatology Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho