Stacy Luann Ellis, PA

NPI #1548448087 in Norman, Oklahoma

Provider Information

NPI Number
1548448087
Entity Type
Individual
Name
Stacy Luann Ellis, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Feb 6, 2008
Last Updated
Jan 27, 2022

Practice Location

Address
448 36TH AVE NW STE 101
City
Norman
ZIP Code
73072-4743
Phone
(405) 573-9905

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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