NPI 1104685346

Blake Michael Ellis, DO

Practitioner Orthopaedic Surgery Physician Youngstown, OH

Practice location

Address: 1044 Belmont Ave, Youngstown, OH 44504-1006
Phone: (330) 480-7142

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 58.034231 (OH)

Other Orthopaedic Surgery providers in Ohio →

Registry record

NPI: 1104685346
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2024
Record last updated: 25 Jun 2024

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.