Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK L WILLATS, DPM
Active Sole ProprietorMARK L WILLATS, DPM is a Radiology Podiatrist healthcare provider located in SCOTTSBLUFF, Nebraska. NPI 1174539555 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · SCOTTSBLUFF, NE
Registration Details
- NPI Number
- 1174539555
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.014971347478 yrs)
- Last Updated
- Jun 8, 2020
- Licenses
-
261 (NE)261 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 W 42ND STSTE 2700SCOTTSBLUFF, NE, 693614669Browse NE providers · Browse ZIP 69361
- Phone
- 3086323668
- Fax
- 3086351355
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Radiology Podiatrist
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.