NPI 1023211547

Daniel Levi Willis, MD

Practitioner Urology Physician Bend, OR

Practice location

Address: 2090 NE Wyatt CT STE 101, Bend, OR 97701-7691
Phone: (541) 382-6447
Mailing address: PO Box 6048, Bend, OR 97708-6048

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD208021 (OR)

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Registry record

NPI: 1023211547
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2007
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.