Individual
DR. SCOTT J ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
920 N MAIN ST, ELK CITY, OK 73644-2829
(580) 243-1121
(580) 243-1145
Mailing address
PO BOX 9, ELK CITY, OK 73648-0009
(580) 243-1121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2331
OK
Other
Enumeration date
07/18/2006
Last updated
03/05/2024
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