Provider Demographics
NPI:1831397124
Name:WILLITS, MARK BILLY (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:BILLY
Last Name:WILLITS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6600 S YALE AVE
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3347
Mailing Address - Country:US
Mailing Address - Phone:918-488-6001
Mailing Address - Fax:918-488-6010
Practice Address - Street 1:6465 S YALE AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7823
Practice Address - Country:US
Practice Address - Phone:918-502-8810
Practice Address - Fax:918-502-8815
Is Sole Proprietor?:No
Enumeration Date:2007-07-07
Last Update Date:2011-07-22
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Provider Licenses
StateLicense IDTaxonomies
OH35.090321207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery