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Search › Arizona › 183500000X

Justin Ellis

NPI 1275181836 · on the registry since 2019 · sole proprietor

Practice

Address
1625 N 44th St
Phoenix, AZ 85008
Phone
(602) 275-0120
Organisation at this address
Cvs Pharmacy
German Dobson Cvs Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona