National Provider Identifier Database

RANDALL J WILLIS, MD – NPI #1902860356
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

RANDALL J WILLIS, MD
801 S WALNUT ST
STILLWATER, OK74074-4226
Phone: 405-743-3760
Fax:
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for RANDALL J WILLIS

NPI Number 1902860356
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 02/01/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • OK License #: 12754
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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