Individual
CYNTHIA ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 802-6316
(317) 870-0499
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-6316
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01034480
IN
Other
Enumeration date
11/16/2005
Last updated
07/09/2007
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