Individual
MS. MARTHA A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4455 E CAMELBACK RD STE D155, PHOENIX, AZ 85018-2888
(480) 626-2444
(888) 473-4947
Mailing address
PO BOX 88747, MILWAUKEE, WI 53288-8747
(480) 945-6777
(480) 257-7310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004629
WA
363AM0700X
Medical Physician Assistant
Primary
2486
AZ
Other
Enumeration date
07/21/2006
Last updated
01/10/2026
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