NPI 1144537366

Tina Marie Wills, OPTOMETRYTECH

Practitioner Other Technician Fort Leonard Wood, MO

Practice location

Address: 126 Missouri Ave. Eent Clinic Jeneral Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473
Phone: (573) 596-0131
Fax: (573) 596-0086

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Missouri →

Registry record

NPI: 1144537366
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2010
Record last updated: 9 Sep 2010

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.