Warren L Ellison, M.d.
NPI #1619176799 in Clarkston, Washington
Provider Information
- NPI Number
- 1619176799
- Entity Type
- Organization
- Organization Name
- Warren L Ellison, M.d.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 17, 2007
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 1207 EVERGREEN CT
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-2843
- Phone
- (208) 758-2928
Authorized Official
- Name
- MR. JEFF J BISHOP
- Title
- ACCOUNT MANAGER
- Phone
- (208) 683-2928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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