NPI 1174539555 · live from the CMS NPI Registry
Mark L Willats, DPM
Podiatrist, Primary Podiatric Medicine in Scottsbluff, NE. National Provider Identifier 1174539555, active.
NPI record
| NPI | 1174539555 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Primary Podiatric Medicine 213EP1101X |
| Practice location | 2 W 42nd St, Ste 2700, Scottsbluff, NE 69361 |
| Practice phone | 308-632-3668 |
| Enumerated | July 31, 2006 |
| Last updated | June 8, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 261 (NE) |
| Podiatrist, Primary Podiatric Medicine primary | 213EP1101X | 261 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.