Individual
DANIEL ELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 355-4806
(203) 867-4806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2705
ID
363A00000X
Physician Assistant
—
OR
363AM0700X
Medical Physician Assistant
Primary
4654
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2016
Last updated
08/07/2025
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