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Mary Ellis, MD
NPI 1376146837 · on the registry since 2020
Practice
- Address
- 11080 Roaring Fork St
Caldwell, ID 83605 - Phone
- (949) 306-7962
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-05
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 Idaho