Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Willie Earl Sallis, PA

Individual provider Physician Assistant · NPI 1689606709

Willie Earl Sallis, PA is a Physician Assistant in Fort Rucker, Alabama. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

301 Andrews Ave Lyster Army Health Clinic Blding
Fort Rucker, AL 36362-0701
Phone: (334) 255-7349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1689606709
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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