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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ZACHARY RANDALL WILLIS

Active

ZACHARY RANDALL WILLIS is a Physician Assistant healthcare provider located in POTSDAM, New York. NPI 1265041073 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · POTSDAM, NY

Registration Details

NPI Number
1265041073
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2020 (6.0352807871865 yrs)
Last Updated
Jul 28, 2020
License
025386 (NY)

Practice Information

Address
50 LEROY ST
POTSDAM, NY, 136761799
Browse NY providers · Browse ZIP 13676
Phone
3152653300
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in POTSDAM, NY

Name Credential NPI
DAWN M. WHITE PA 1093781379
MS. KATHERINE A BAKER RPA-C 1316971831
MICHELLE L KENT RPA-C 1508977356
FRANK BATEMAN RPAC 1831262567
MR. KEITH ALLEN POWELL PA 1619037249
TERRI E JOYCE PA 1760544530
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.