NPI 1477658094

Jonathan D Ellen, MD

Practitioner Physical Medicine & Rehabilitation Physician Las Cruces, NM

Practice location

Address: 4441 E Lohman Ave, Las Cruces, NM 88011-8267
Phone: (901) 484-2052
Mailing address: PO Box 1000 Dept 0420, Memphis, TN 38148-0420

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 26906 (TN)

Other Physical Medicine & Rehabilitation providers in New Mexico →

Registry record

NPI: 1477658094
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2006
Record last updated: 24 Oct 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.