Individual
DR. AUSTIN ELLYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1760
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1540
NE
207W00000X
Ophthalmology Physician
T3764
TX
Other
Enumeration date
04/03/2015
Last updated
05/25/2024
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