Richard Leroy Ellis, MD

NPI #1104010206 in Birmingham, Alabama

Provider Information

NPI Number: 1104010206
Entity Type: Individual
Name: Richard Leroy Ellis, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Aug 31, 2007
Last Updated: Aug 31, 2007

Practice Location

Address: 2657 PARK LANE CT EAST--UNIT F
City: Birmingham
State: Alabama
ZIP Code: 35223
Phone: (205) 879-1386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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