Willie Earl Sallis, PA Valid NPI

Individual provider · Physician Assistant · Fort Rucker, AL

NPI

1689606709

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-07

Last updated

2025-11-05