Individual
MR. DANIEL ADAM ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.O.
Contact information
Practice address
N. 1804 WASHINGTON, YE OLDE OPTICAL SHOPPE, SPOKANE, WA 99205-4757
(509) 326-3459
(509) 326-3459
Mailing address
N. 1804 WASHINGTON, YE OLDE OPTICAL SHOPPE, SPOKANE, WA 99205-4757
(509) 326-3459
(509) 326-3459
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO-00000549
WA
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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