Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID RANDALL WILLIS, D.O.
Active Sole ProprietorDR. DAVID RANDALL WILLIS, D.O. is a Family Medicine healthcare provider located in WADLEY, Alabama. NPI 1710901970 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WADLEY, AL
Registration Details
- NPI Number
- 1710901970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.028494649408 yrs)
- Last Updated
- Oct 12, 2011
- License
-
DO288 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 TALLAPOOSA STREETWADLEY, AL, 36276Browse AL providers · Browse ZIP 36276
- Phone
- 2563954757
- Fax
- 2563956055
- Primary Specialty
-
Family Medicine
207Q00000X
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.