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Individual

GREGORY W ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7050 SOUTH HIGHLAND DRIVE, SUITE 230, COTTONWOOD HEIGHTS, UT 84121
(801) 878-4081
(801) 432-4264
Mailing address
PO BOX 71312, SALT LAKE, UT 84171-0312
(801) 878-4081
(801) 432-4264

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
178505-1205
UT

Other

Enumeration date
11/20/2006
Last updated
06/14/2012
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