Joseph Ellis

NPI #1215737168 in Miami, Oklahoma

Provider Information

NPI Number: 1215737168
Entity Type: Individual
Name: Joseph Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 18, 2025
Last Updated: Mar 18, 2025

Practice Location

Address: 115 S MAIN ST
City: Miami
State: Oklahoma
ZIP Code: 74354-7024
Phone: (918) 544-6663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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