Individual
MR. DAVID WILLIAMS ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
192 W CENTER ST, MILLERSBURG, PA 17061-1314
(717) 692-4834
(717) 692-3678
Mailing address
PO BOX 116, 192 W CENTER ST, MILLERSBURG, PA 17061
(717) 692-4834
(717) 692-3678
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD026575E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009476790001
—
PA
01
—
02725200
CAPITAL BLUE CROSS
PA
01
—
110013871
RAILROAD MEDICARE
—
01
—
1522001
GATEWAY
—
01
—
20009377
AMERIHEALTH MERCY
—
01
—
232364010
TRICARE
—
01
—
EL446512
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/07/2006
Last updated
03/15/2010
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