Whalio Doctors

NPI 1477501815

Roger Cecil Willis, MD

Practitioner Family Medicine Physician Coquille, OR

Practice location

Address
790 E 5th St, Coquille, OR 97423-1755
Phone
(541) 396-7295
Mailing address
1900 Woodland Dr, Coos Bay, OR 97420-2099

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD26451 (OR)

Registry record

NPI
1477501815
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 May 2006
Record last updated
4 Oct 2021

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.