IndividualActive
Julie Willis, PA-C
NPI 1528033479 · Surgical Physician Assistant · Saint Louis, MO
Provider details
- NPI number
- 1528033479
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2001031727 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
625 S New Ballas Rd
Suite R-7040
Saint Louis, MO 63141-8232
Phone: (314) 251-6970
Fax: (314) 251-1053
Approximate (ZIP-level) locationGet directions
Mailing address
625 S New Ballas Rd
Saint Louis, MO 63141-8232
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2008-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.