OrganizationActive
Chad D. Willis, D.O., P.C.
NPI 1174844864 · Otolaryngology Physician · Lawton, OK
Provider details
- NPI number
- 1174844864
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Therese Simon, Crentialing
- License
- 4875 (OK)
Practice location
5402 Sw Lee Blvd
Lawton, OK 73505-9521
Phone: (580) 531-0022
Fax: (580) 531-0026
Mailing address
5402 Sw Lee Blvd
Lawton, OK 73505-9521
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2010-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.