MS. KONNEEN WILLIS, PA
Physician Assistant - Medical
Active
Individual
NPI: 1861510240
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 107354-1206 (UT) |
Frequently Asked Questions
NPI 1861510240 is the National Provider Identifier for MS. KONNEEN WILLIS, PA, a Physician Assistant - Medical provider located in Bountiful, UT. This NPI was enumerated on March 26, 2007.
MS. KONNEEN WILLIS, PA practices at 1551 RENAISSANCE TOWNE DR, STE 460, Bountiful, UT 84010.
Quick Facts
- NPI
- 1861510240
- Type
- Individual
- Enumerated
- Mar 26, 2007
- Last Updated
- Feb 25, 2021
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