Individual
DR. DAVID MARTIN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
123 SOUTHGATE PKWY, CAMBRIDGE, OH 43725-2325
(740) 432-6556
(740) 432-2506
Mailing address
123 SOUTHGATE PKWY, CAMBRIDGE, OH 43725-2325
(740) 432-6556
(740) 432-2506
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001852
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448788
—
OH
Enumeration date
06/03/2006
Last updated
11/04/2009
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