Individual
DR. DAVID S ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24 RANDOLPH ST, STE B, WILMINGTON, OH 45177-2775
(937) 382-1095
(937) 382-3739
Mailing address
PO BOX 105, WILMINGTON, OH 45177-0105
(949) 374-3789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3724
OH
Other
Enumeration date
06/25/2005
Last updated
07/08/2007
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