Individual
DR. TROY C ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13943 N 91ST AVE, #C-101, PEORIA, AZ 85381-3629
(623) 760-9449
(623) 974-9351
Mailing address
13943 N 91ST AVE, #C-101, PEORIA, AZ 85381-3629
(623) 760-9449
(623) 974-9351
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
49391
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356491997
BC/BS
AZ
01
—
2868924
CIGNA
AZ
01
—
4847313
AETNA
AZ
Enumeration date
01/12/2007
Last updated
01/26/2016
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