Warren L Ellison, M.D.

NPI #1982718235 in Clarkston, Washington

Provider Information

NPI Number: 1982718235
Entity Type: Individual
Name: Warren L Ellison, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 17, 2006
Last Updated: Jan 8, 2013

Practice Location

Address: 1207 EVERGREEN CT
City: Clarkston
State: Washington
ZIP Code: 99403-2843
Phone: (509) 758-0875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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