Colette Mark Ellis, MD
Colette Mark Ellis, MD is a Surgery Physician in Fairborn, Ohio. Licensed in Texas. Registered with an NPI since 2019.
- Licensed in
- TX
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1059 Baywood DrFairborn, OH 45324-2647
Phone: (713) 339-0341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence S8030 (TX) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence S8030 (TX) |
Record details
| NPI number | 1629530225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 2, 2019 |
| Last updated in NPPES | July 27, 2022 |
| Certification date | July 27, 2022 |
| Mailing address | 1059 Baywood Dr, Fairborn, OH 45324-2647 |
Other providers in Fairborn
-
Dr. Karen Diane Phillips, MD
1149 Katy Meadow Ct, Fairborn, OH 45324-8720 · (803) 767-3814