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Individual

DAVID M ELLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7908 CINCINNATI DAYTON RD, SUITE J, WEST CHESTER, OH 45069-6608
(937) 241-1830
(888) 418-2057
Mailing address
7908 CINCINNATI DAYTON RD, SUITE J, WEST CHESTER, OH 45069-6608
(937) 241-1830
(888) 418-2057

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-082208
OH
208M00000X
Hospitalist Physician
35.082208
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2411830
OH
Enumeration date
06/08/2006
Last updated
01/27/2015
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