Individual
MARK E ELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1930 S FEDERAL BLVD, DENVER, CO 80219-5501
(303) 935-9142
(303) 934-7332
Mailing address
1930 S FEDERAL BLVD, DENVER, CO 80219-5501
(303) 935-9142
(303) 934-7332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22074
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012220748
—
CO
Enumeration date
08/11/2006
Last updated
09/22/2015
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