Colette Mark Ellis, MD

NPI #1629530225 in Fairborn, Ohio

Provider Information

NPI Number: 1629530225
Entity Type: Individual
Name: Colette Mark Ellis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Apr 2, 2019
Last Updated: Jul 27, 2022

Practice Location

Address: 1059 BAYWOOD DR
City: Fairborn
State: Ohio
ZIP Code: 45324-2647
Phone: (713) 339-0341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
General Practice	208D00000X	Primary

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Organizations

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