Richard Alan Ellis MD
Richard Alan Ellis MD is a Surgery Physician in Germantown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.
- Licensed in
- TN
- In the registry since
- 2010
Practice location Address checks out
3066 Fountainside Dr Ste 102Germantown, TN 38138-7820
Phone: (901) 755-7335
Fax: (901) 755-7380
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence MD016474 (TN) |
|---|
Record details
| NPI number | 1033412846 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donica Ellis — Practice Administrator · (901) 755-7069 |
| NPI enumerated | December 16, 2010 |
| Last updated in NPPES | January 16, 2013 |
| Mailing address | 3066 Fountainside Dr Ste 102, Germantown, TN 38138-7820 |
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