Mark L Willis in Dothan - Interventional Pain Medicine
Mark L Willis - NPI 1740269612
Mark L Willis is a Interventional Pain Medicine in Dothan, Alabama. Mark L Willis practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Mark L Willis is 1740269612. The last update date is 2017-05-11.
Mark L Willis's current location address is 1108 Ross Clark Circle, Dothan, Alabama. You can contact this provider via phone number 3347938196 and fax number 3346994757. The mailing address for Mark L Willis is 1108 Ross Clark Circle, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark L Willis |
|---|---|
| Address | 1108 Ross Clark Circle, Dothan, Alabama |
| Phone Number | 3347938196 |
| Fax Number | 3346994757 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740269612 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2017-05-11 |
Provider Mailing Address Detail
| Address | 1108 Ross Clark Circle |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 36301 |
| Phone Number | 3347938196 |
| Fax Number | 3346994757 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 25952 |
|
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 622443016A | GA | MEDICAID | |
| 51521334 | BCBS OF AL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark L Willis by the Centers for Medicare & Medicaid Services?
The Mark L Willis has been assigned the NPI (National Provider Identifier) 1740269612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mark L Willis's facilities are geographically located?
The facilities of Mark L Willis are physically situated at the following location: 1108 Ross Clark Circle, Dothan, AL, 36301.
What is Mark L Willis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark L Willis is Interventional Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 208Vp0014X.
When did Mark L Willis receive its 1740269612 assignment?
The Mark L Willis was assigned its 1740269612 on 2006-01-10, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark L Willis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark L Willis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-05-11.