Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT L WILLIS, DO
Deactivated Sole ProprietorDR. ROBERT L WILLIS, DO is a Electrodiagnostic Medicine healthcare provider located in CARTERVILLE, Missouri. NPI 1073507182 is deactivated in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · CARTERVILLE, MO
This NPI has been deactivated.
The record was deactivated on March 24, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1073507182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2005 (0.55616438356164 yrs)
- Last Updated
- Mar 5, 2010
- Deactivated
- Mar 24, 2006
- License
-
10148 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 S CARTER STCARTERVILLE, MO, 648351451Browse MO providers · Browse ZIP 64835
- Phone
- 4176733843
- Fax
- 4176731160
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.