Organization
ELLISON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL ELLISON M.D. (OWNER)
(937) 241-1830
Entity
Organization
Contact information
Practice address
7908 CINCINNATI DAYTON RD, SUITE J, WEST CHESTER, OH 45069-6608
(888) 418-2037
(888) 418-2057
Mailing address
7908 CINCINNATI DAYTON RD, SUITE J, WEST CHESTER, OH 45069-6608
(888) 418-2037
(888) 418-2057
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35082208
OH
Other
Enumeration date
03/25/2014
Last updated
04/27/2015
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