Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAD D WILLIS, D.O.
ActiveDR. CHAD D WILLIS, D.O. is a Plastic Surgery within the Head & Neck healthcare provider located in SHAWNEE, Oklahoma. NPI 1750432043 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · SHAWNEE, OK
Registration Details
- NPI Number
- 1750432043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2007 (19.601257622091 yrs)
- Last Updated
- Nov 11, 2016
- Licenses
-
2006033639 (MO)4875 (OK)
Practice Information
- Address
-
3214 KETHLEY RDSHAWNEE, OK, 748049625Browse OK providers · Browse ZIP 74804
- Phone
- 4052735801
- Fax
- 4058783794
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
- Additional Specialty
- Plastic Surgery within the Head & Neck
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.