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NPI Profile for WILLIAM P ELLIS in LITTLE ROCK, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1730825829 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 05/11/2022 | |
| Last updated | 05/12/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WILLIAM P ELLIS
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WILLIAM P ELLIS, PA-C