Individual
ROBERT TYLER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
497 AZALEA DR STE 102, OXFORD, MS 38655-7906
(662) 513-2000
Mailing address
497 AZALEA DR STE 102, OXFORD, MS 38655-7906
(662) 513-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29723
MS
Other
Enumeration date
06/22/2017
Last updated
08/24/2023
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