Individual
MR. CHRISTOPHER A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1900 16TH ST, GREELEY, CO 80631-5114
(970) 350-2427
(970) 350-2421
Mailing address
1900 16TH ST, GREELEY, CO 80631-5114
(970) 350-2427
(970) 350-2421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
947
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07733054
—
CO
Enumeration date
02/23/2006
Last updated
07/01/2013
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