Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1689418089 |
| LBN Legal business name | DR. DAVID ELLIS DPM LLC |
| Authorized official | DAVID ELLIS - (DPM, OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/20/2024 |
| Last updated | 06/20/2024 - More than a year ago |
| Identifiers | n/a |
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