Henry Dudley Ellington III P.A.C.

NPI 1316921992 - Physician Assistant - 363A00000X

NPI Details
NPI 1316921992
Gender Male
Enumeration Date 12/06/2005
Last Updated 10/17/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1701 E THOMAS RD
SUITE A-104
PHOENIX AZ, 85016-7646, US
Phone (888) 381-4858
Fax
Business Location
1701 E THOMAS RD
SUITE A-104
PHOENIX AZ, 85016-7646, US
Phone (888) 381-4858
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Hawaii
License Number AMD-132
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According to our database, Mr. Henry Dudley Ellington III P.A.C. NPI is 1316921992, taxonomy code is 363A00000X and license number is AMD-132, license state is located at Hawaii. Henry Dudley Ellington III P.A.C. physically located at 1701 E Thomas Rd, Phoenix AZ, 85016-7646. NPI Number Henry Dudley Ellington III P.A.C. has the Individual type.

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1316921992 NPI number is provided on an as is basis without warranty of any kind. 1316921992 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Dudley Ellington III P.A.C. are for informational purposes only.