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Individual

DR. WALTER WRIGHT ELLIS

Active
Find providers by NPI
Individual

DR. WALTER WRIGHT ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
024782
LA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
024782
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489417
—
LA
Enumeration date
12/24/2006
Last updated
10/10/2019
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