NPI 1740269612

Mark L Willis, MD

Practitioner Interventional Pain Medicine Physician Dothan, AL

Practice location

Address: 208 Haven Dr Southeast Pain Mgmt Center, Dothan, AL 36301-2909
Phone: (334) 793-8196
Fax: (334) 699-4757
Mailing address: 1108 Ross Clark Circle Southeast Pain Mgmt Center, Dothan, AL 36301

Registered specialties (3)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 00025952 (AL)

Other Pain Medicine providers in Alabama →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 00025952 (AL)

Other Anesthesiology providers in Alabama →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 00025952 (AL)

Registry record

NPI: 1740269612
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2006
Record last updated: 11 May 2017

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.