Dr. Daniel Levi Willis, M.D.
Urology in Bend, OR. Individual provider (NPI-1).
NPI number1023211547
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1023211547
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel Levi Willis
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2007
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | MD208021 | OR | Yes |
| 208800000X | Urology | P3486 | TX | |
| 208800000X | Urology | TRN10996 | FL |
Practice location
2090 Ne Wyatt Ct Ste 101Bend, OR 97701-7691
Phone 541-382-6447
Mailing address
Po Box 6048Bend, OR 97708-6048
Phone 541-382-4900 · Fax 541-706-2398
Other practice locations
1515 Holcombe Blvd
Houston, TX 77030-4009
Houston, TX 77030-4009
Phone 713-792-6161
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