Robert Willis, PA-C
Physician Assistant · Idaho Falls, ID
UnclaimedPA-CNPI 1235331802
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2007-06-04
- Practice location
- Idaho Falls, ID
- Last NPPES update
- 2015-03-04
State licenses
- ID · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.