Ellison Medical LLC

NPI #1417374703 in West Chester, Ohio

Provider Information

NPI Number: 1417374703
Entity Type: Organization
Organization Name: Ellison Medical LLC
Primary Specialty: Specialist
Enumeration Date: Mar 25, 2014
Last Updated: Apr 27, 2015

Practice Location

Address: 7908 CINCINNATI DAYTON RD
Address 2: SUITE J
City: West Chester
State: Ohio
ZIP Code: 45069-6608
Phone: (888) 418-2037

Authorized Official

Name: DR. DAVID MICHAEL ELLISON, M.D.
Title: OWNER
Phone: (937) 241-1830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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