MR. Anthony Jerome Ellis, C.P.
NPI #1124311162 in Upland, California
Provider Information
- NPI Number
- 1124311162
- Entity Type
- Individual
- Name
- MR. Anthony Jerome Ellis, C.P.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist - Prosthetics Case Management
- Credential
- C.P.
- Enumeration Date
- May 24, 2011
- Last Updated
- May 24, 2011
Practice Location
- Address
- 923 W FOOTHILL BLVD
- City
- Upland
- State
- California
- ZIP Code
- 91786-3729
- Phone
- (909) 982-3434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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|---|---|
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