NPI 1417374703

Ellison Medical LLC

Organisation Specialist West Chester, OH

Practice location

Address: 7908 Cincinnati Dayton Rd Suite J, West Chester, OH 45069-6608
Phone: (888) 418-2037
Fax: (888) 418-2057

Authorised official

Name: David Michael Ellison
Title: Owner
Phone: (937) 241-1830

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 35082208 (OH)

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Registry record

NPI: 1417374703
Entity type: Organization
NPI issued: 25 Mar 2014
Record last updated: 27 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.