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Search › Louisiana › 207Q00000X

Fred Willis, M.D

NPI 1245441005 · on the registry since 2007

Practice

Address
1560 Irving Pl
Shreveport, LA 71101
Phone
(318) 212-1194
Fax
(318) 212-1196
Organisation at this address
Genesis Nephrology, Llc
Diabetes Assessment And Management Center Of Shreveport Llc
Diabetes Assessment And Management Center Of Shreveport, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-02

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 Louisiana