Individual
DR. DAVID PAUL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1226 N SHARTEL AVE, SUITE 300, OKLAHOMA CITY, OK 73103
(405) 232-8003
(405) 232-8008
Mailing address
701 NE 10TH ST, OKLAHOMA CITY, OK 73104-5403
(405) 232-8003
(405) 232-8008
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
15874
OK
282N00000X
General Acute Care Hospital
15874
OK
Other
Enumeration date
10/24/2006
Last updated
07/14/2018
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