Individual
STEPHEN RICHARD ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2213 ELBA ST, DURHAM, NC 27705-3934
(919) 684-0100
Mailing address
2213 ELBA ST, DURHAM, NC 27705-3934
(919) 684-0100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2025-01035
NC
Other
Enumeration date
04/30/2021
Last updated
07/23/2025
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