Beau Willis, D.P.M. is a foot and ankle surgery podiatrist in Metairie, LA with 10 years of experience. Beau Willis, D.P.M. NPI is 1396164679. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2014
The provider's business location address is:
2520 HARVARD AVE
METAIRIE, LA
ZIP 70001-172
Phone: (504) 454-3004
Fax: (504) 454-3075
The NPI 1396164679 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 4/15/2014 and was last updated on 3/17/2018.