Individual
DR. GEORGE ELLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 BOARDMAN-CANFIELD ROAD, BOARDMAN, OH 44512
(330) 965-0832
(330) 965-0155
Mailing address
910 BOARDMAN-CANFIELD ROAD, BOARDMAN, OH 44512
(330) 965-0832
(330) 965-0155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35060641
OH
207R00000X
Internal Medicine Physician
Primary
35060641E
OH
Other
Enumeration date
12/20/2005
Last updated
09/23/2024
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