Blake Michael Ellis, DO

NPI #1104685346 in Youngstown, Ohio

Provider Information

NPI Number: 1104685346
Entity Type: Individual
Name: Blake Michael Ellis, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: DO
Enumeration Date: Mar 18, 2024
Last Updated: Jun 25, 2024

Practice Location

Address: 1044 BELMONT AVE
City: Youngstown
State: Ohio
ZIP Code: 44504-1006
Phone: (330) 480-7142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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