# WALTER WRIGHT ELLIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639347941
- **Authorized official:** MR. WALTER WRIGHT ELLIS M.D. (PHYSICIAN)
- **Authorized official phone:** (504) 828-8241

## Contact information

- **Practice address:** 4545 BLUEBONNET BLVD, BATON ROUGE, LA 70809-5600
- **Practice address phone:** (225) 766-2311
- **Practice address fax:** (225) 767-7134
- **Mailing address:** PO BOX 84358, BATON ROUGE, LA 70884-4358
- **Mailing address phone:** (225) 766-2311
- **Mailing address fax:** (225) 767-7134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD024782 | LA | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 11/08/2019