Individual
COREY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
577 S RIVER RD, ST GEORGE, UT 84790-2097
(435) 688-6200
(435) 688-6222
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11205153-1204
UT
207R00000X
Internal Medicine Physician
R10716
IA
Other
Enumeration date
06/28/2016
Last updated
07/11/2024
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