Gary D Ellis
Gary D Ellis is a Student in an Organized Health Care Education/Training Program in Dayton, Ohio. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
4881 Sugar Maple Dr 88MDG/MDOS/SGOW Wright Patterson AfbDayton, OH 45433-5529
Phone: (937) 257-6876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1497189203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 28, 2013 |
| Last updated in NPPES | August 28, 2013 |
| Mailing address | 2489 Edgewater Dr, Unit 2, Beavercreek, OH 45431-5644 |
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