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Individual
MR. DAVID WILLIAMS ELLIS
Active
Individual
MR. DAVID WILLIAMS ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD026575E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009476790001
—
PA
01
—
02725200
CAPITAL BLUE CROSS
PA
01
—
110013871
RAILROAD MEDICARE
—
01
—
1522001
GATEWAY
—
01
—
20009377
AMERIHEALTH MERCY
—
01
—
232364010
TRICARE
—
01
—
EL446512
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/07/2006
Last updated
03/15/2010
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