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Individual
DR. BYRON JASON ELLIS
Active
Individual
DR. BYRON JASON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
60453
TN
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0058965
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029437
KAISER COMMERCIAL NUMBER
CO
05
—
9000130829
—
CO
Enumeration date
03/25/2015
Last updated
06/01/2023
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