Organization
ELLIS CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W. ELLIS M.D. (PRESIDENT)
(405) 917-5336
Entity
Organization
Contact information
Practice address
5100 N BROOKLINE AVE STE 465, OKLAHOMA CITY, OK 73112-3625
(405) 917-5336
(405) 917-2250
Mailing address
5100 N BROOKLINE AVE STE 465, OKLAHOMA CITY, OK 73112-3625
(405) 917-5336
(405) 917-2250
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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