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Contact Information

JASON WILLIS, MD
1101 12TH AVE, NW
MERCY ARDMORE HOSPITAL WOUND CARE CENTER
ARDMORE, OK73401
 Phone: 580-220-6290
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JASON WILLIS · (Male)

NPI # 1679603153
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2007
Last updated 10/19/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 29655
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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