Individual
DANIEL ELLS
Active
Individual
DANIEL ELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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