Individual
DEION ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12631 E 17TH AVE, AURORA, CO 80045-2527
(505) 205-3854
Mailing address
12631 E 17TH AVE, AURORA, CO 80045-2527
(505) 205-3854
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL0010349
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2020
Last updated
04/22/2024
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