MR. Mark Ryan Elliott, PA

NPI #1174609424 in Midland, Texas

Provider Information

NPI Number
1174609424
Entity Type
Individual
Name
MR. Mark Ryan Elliott, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 30, 2006
Last Updated
Jul 9, 2012

Practice Location

Address
2200 W ILLINOIS AVE
State
Texas
ZIP Code
79701-6407
Phone
(432) 685-1111

Specialties & Taxonomy Codes

Specialty
Specialist
Physician Assistant

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