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ELAINE M ELLIS M.D.

Neurodevelopmental Disabilities

Scottsdale, Arizona

Provider NPI: 1952364150

Provider Information:
 ELAINE M ELLIS M.D.


Practice Location:
10210 N 92ND ST SUITE 207 SCOTTSDALE, AZ 85258 US
Tel: 480-661-1332  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080P0008XPhysicians
Pediatrics
Neurodevelopmental Disabilities
AZ33938

Other Provider Identifiers:

IssuerNumberStateType
953142AZ05
D6388802
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin





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