Individual
TRUMAN E ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1560 N 115TH ST STE 209, SEATTLE, WA 98133-8414
(253) 891-9006
Mailing address
1560 N 115TH ST STE 209, SEATTLE, WA 98133-8414
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10002185
WA
Other
Enumeration date
02/19/2007
Last updated
01/31/2008
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