Mr. Joel S. Willis DO
Family Medicine Physician in Washington, DC(View on Map)
Full Name
Mr. Joel S Willis DO
NPI Number
1205169760
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/15/2009
Specialties
(Taxonomies)Licenses
State
District Of Columbia
Ohio
License Number
DO034845
35-050910
Contact
Information
Purpose
Mailing
Location
Address
2120 L ST NW STE 450
2150 PENNSYLVANIA AVE NW
City
Washington
Washington
State
DC
DC
Postal Code
20037-1541
20037-3201
Country
US
US
Telephone Number
(216) 476-7086
(216) 476-7086
Identifiers
Identifier
CF3444
370966854005
370966854002
Identifier State
IL
IL
IL
Identifier Issuer
MEDICARE RR
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/24/2021
Provider Address
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