Individual
DAVID ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3200 TRADERS WAY STE C, WINNEMUCCA, NV 89445-3683
(406) 459-5456
Mailing address
PO BOX 2663, WINNEMUCCA, NV 89446-2663
(406) 459-5456
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
B01467
NV
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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