Russell L Ellis MD

NPI 1134292766 - Physical Medicine & Rehabilitation - 2081S0010X

NPI Details
NPI 1134292766
Gender Male
Enumeration Date 11/15/2006
Last Updated 10/22/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1103 16TH AVE SE
DECATUR AL, 35601-3595, US
Phone (256) 350-0362
Fax
Business Location
1103 16TH AVE SE
DECATUR AL, 35601-3595, US
Phone
Fax
Toxanomy
Taxonomy Code 2081S0010X
License State Alabama
License Number 00022020
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According to our database, Russell L Ellis MD NPI is 1134292766, taxonomy code is 2081S0010X and license number is 00022020, license state is located at Alabama. Russell L Ellis MD physically located at 1103 16th Ave Se, Decatur AL, 35601-3595. NPI Number Russell L Ellis MD has the Individual type.

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1134292766 NPI number is provided on an as is basis without warranty of any kind. 1134292766 is maintained by the National Plan & Provider Enumeration System. The contents of Russell L Ellis MD are for informational purposes only.