Douglas R Ellis, MD

NPI #1992790786 in Monticello, Illinois

Provider Information

NPI Number: 1992790786
Entity Type: Individual
Name: Douglas R Ellis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 17, 2005
Last Updated: Apr 24, 2013

Practice Location

Address: 1002 MEDICAL CENTER DR
Address 2: FAMILY MEDICINE
City: Monticello
State: Illinois
ZIP Code: 61856-2116
Phone: (217) 762-2518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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