Individual
DR. EDWARD EUGENE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9032 W KEN CARYL AVE, A-5, LITTLETON, CO 80128-9330
(303) 973-4760
Mailing address
9525 W COAL MINE AVE APT H, LITTLETON, CO 80123-8026
(303) 979-2873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1087
CO
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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