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Individual

DR. GRAHAM CHRISTIAN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
WALTER REED NATIONAL MILITARY MEDICAL CENTER, 8901 ROCKVILLE PIKE, BETHESDA, MD 20889
(301) 295-4611
Mailing address
WALTER REED NATIONAL MILITARY MEDICAL CENTER, 8901 ROCKVILLE PIKE, BETHESDA, MD 20889

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101268004
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VAD0000
MEDICARE UPIN
Enumeration date
06/08/2017
Last updated
07/09/2024
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