National Provider Identifier Database

CHAD D WILLIS, DO – NPI #1750432043
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

CHAD D WILLIS, DO
3214 KETHLEY RD
SHAWNEE, OK74804-9625
Phone: 405-273-5801
Fax: 405-878-3794
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X
Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for CHAD D WILLIS

NPI Number 1750432043
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/15/2007
Last updated 11/11/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2006033639
  • OK License #: 4875
Hospital affiliation n/a

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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