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Jonathan Ellis, M.D

NPI 1972726636 · on the registry since 2007

Practice

Address
301 Fisher St
Biloxi, MS 39534
Phone
(228) 376-0452
Organisation at this address
U.S Air Force
Keesler Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
186

Registry record

Primary taxonomy
207W00000X
207W00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-09

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 Mississippi