Individual
ELLEX ANTHONY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01096270A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
04/10/2022
Last updated
01/07/2026
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