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Individual
DR. JIMMY SCOTT ELLIS
Active
Individual
DR. JIMMY SCOTT ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
14709
SD
207V00000X
Obstetrics & Gynecology Physician
Primary
46656
CO
207V00000X
Obstetrics & Gynecology Physician
L6229
TX
207V00000X
Obstetrics & Gynecology Physician
OP61014771
WA
Other
Enumeration date
07/12/2006
Last updated
03/20/2025
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