Mary C Ellis, MD

NPI #1376146837 in Caldwell, Idaho

Provider Information

NPI Number: 1376146837
Entity Type: Individual
Name: Mary C Ellis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MD
Enumeration Date: Nov 18, 2020
Last Updated: Jun 5, 2025

Practice Location

Address: 11080 ROARING FORK ST
City: Caldwell
State: Idaho
ZIP Code: 83605-2078
Phone: (949) 306-7962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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