Daniel Ellis, PA-C

NPI #1366077240 in Ozark, Missouri

Provider Information

NPI Number: 1366077240
Entity Type: Individual
Name: Daniel Ellis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 11, 2020
Last Updated: Mar 11, 2020

Practice Location

Address: 3050 E RIVER BLUFF BLVD
City: Ozark
State: Missouri
ZIP Code: 65721-8807
Phone: (417) 820-5610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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