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Gary Ellis

NPI 1497189203 · on the registry since 2013

Practice

Address
4881 Sugar Maple Dr
88mdg/Mdos/Sgow Wright Patterson Afb
Dayton, OH 45433
Phone
(937) 257-6876
Organisation at this address
Dfas-Jfll/In
Inferred from a shared address, not stated in the registry.
Clinicians at this address
75

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Sex
Male
Record last updated
2013-08-28
Status
Not present in the most recent federal file

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 Ohio