Mary C Ellis, MD

Practice location

Address

11080 Roaring Fork St, Caldwell, ID 83605-2078

Phone

(949) 306-7962

Registered specialties

Registry record

NPI

1376146837

Entity type

Individual

Sex (as registered)

Female

NPI issued

18 Nov 2020

Record last updated

5 Jun 2025

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.