Organization
WALTER WRIGHT ELLIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER WRIGHT ELLIS M.D. (PHYSICIAN)
(504) 828-8241
Entity
Organization
Contact information
Practice address
4545 BLUEBONNET BLVD, BATON ROUGE, LA 70809-5600
(225) 766-2311
(225) 767-7134
Mailing address
PO BOX 84358, BATON ROUGE, LA 70884-4358
(225) 766-2311
(225) 767-7134
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD024782
LA
Other
Enumeration date
02/20/2008
Last updated
11/08/2019
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