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

WILLIE EARL SALLIS, PA

Active Sole Proprietor

WILLIE EARL SALLIS, PA is a Physician Assistant healthcare provider located in FORT RUCKER, Alabama. NPI 1689606709 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT RUCKER, AL

Registration Details

NPI Number
1689606709
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (20.062288616672 yrs)
Last Updated
Nov 5, 2025
Sole Proprietor
Yes

Practice Information

Address
301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC BLDING
FORT RUCKER, AL, 363620701
Browse AL providers · Browse ZIP 36362
Phone
3342557349
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT RUCKER, AL

Name Credential NPI
MR. DONALD WAYNE DRAPER PA 1679564652
MR. FEROZE JOHN MOHAMMAD P.A.-C 1073561791
MR. SHAWNTROY TREMAYNE HILL PHYSICIAN ASSISTANT 1457595910
LYDIA ANNA ZELLERS PA 1033415583
MR. EDWARD LEON WILLIAMS PA-C 1992182463
JACKEE KARST PHYSICIAN ASSISTANT 1841944717
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.