Mary Ann Ellis

NPI #1639567688 in Uniontown, Ohio

Provider Information

NPI Number: 1639567688
Entity Type: Individual
Name: Mary Ann Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Dec 29, 2014
Last Updated: Dec 29, 2014

Practice Location

Address: 3570 FOREST LAKE DR
City: Uniontown
State: Ohio
ZIP Code: 44685-8105
Phone: (720) 200-2825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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