DR. Wayne Enoch Ellis, PH.D., CRNA
NPI #1538219704 in Beckley, West Virginia
Provider Information
- NPI Number
- 1538219704
- Entity Type
- Individual
- Name
- DR. Wayne Enoch Ellis, PH.D., CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- PH.D., CRNA
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1038 N EISENHOWER DR
- Address 2
- SUITE 152
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-3116
- Phone
- (304) 731-0102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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