Individual
OREN HENRY ELLIS
Active
Individual
OREN HENRY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
66-2
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003858
LOVELACE
—
01
—
2335644
UHC
—
01
—
5421393
CCN
—
01
—
NM01VP02
BCBS NM
NM
01
—
PROVO13053
MOLINA
—
05
—
V7059
—
NM
Enumeration date
03/09/2006
Last updated
11/21/2007
Update your record
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