Individual
ANTHONY R. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3478 INWOOD AVE, LAKE CITY, IA 51449-7577
(712) 464-1015
Mailing address
3478 INWOOD AVE, LAKE CITY, IA 51449-7577
(712) 464-1015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03091
IA
Other
Enumeration date
12/19/2006
Last updated
07/08/2020
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