Individual
DR. NATHAN CHRISTOPHER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5101
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT219303
PA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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