Individual
DR. STEVEN ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 E UNIVERSITY BLVD STE 6, ODESSA, TX 79762-8149
(432) 550-5525
(432) 362-4594
Mailing address
5000 E UNIVERSITY BLVD STE 6, ODESSA, TX 79762-8149
(432) 550-5525
(432) 362-4594
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5021
TX
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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