Brenton J Ellison MD

NPI 1033377460 - Anesthesiology - 207L00000X

NPI Details
NPI 1033377460
Gender Male
Enumeration Date 06/02/2008
Last Updated 06/27/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
3911 AVENUE B
SUITE 2250
SCOTTSBLUFF NE, 69361-4617, US
Phone (306) 630-1950
Fax
Business Location
3911 AVENUE B
SUITE 2250
SCOTTSBLUFF NE, 69361-4617, US
Phone (308) 630-1950
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Nebraska
License Number 26731
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According to our database, Brenton J Ellison MD NPI is 1033377460, taxonomy code is 207L00000X and license number is 26731, license state is located at Nebraska. Brenton J Ellison MD physically located at 3911 Avenue B, Scottsbluff NE, 69361-4617. NPI Number Brenton J Ellison MD has the Individual type.

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1033377460 NPI number is provided on an as is basis without warranty of any kind. 1033377460 is maintained by the National Plan & Provider Enumeration System. The contents of Brenton J Ellison MD are for informational purposes only.