Individual
DR. JOHN STEWART ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 443-4049
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-4191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0094917
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0094917
MD
207RP1001X
Pulmonary Disease Physician
D0094917
MD
Other
Enumeration date
05/19/2016
Last updated
05/14/2025
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