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Individual

DR. ROBERT GEORGE ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1204 E 29TH ST, TULSA, OK 74114-3907
(918) 742-1940
Mailing address
1204 E 29TH ST, TULSA, OK 74114-3907
(918) 742-1940

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
9953
OK

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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