Doctor Name: | MR. EDWIN F ELLIS |
NPI Number: | 1467443309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 8832 |
Business Practice Address: | 1020 N Lawson Boulevard Clayton, OK - 745360219 |
Business Phone Number: | 9185694143 |
Business Fax Number: | 9185697552 |
Mailing Address: | Po Box 219, CLAYTON |
State: | OK |
Postal Code: | 745360219 |
Phone Number: | 9185694143 |
Fax Number: | 9185697343 |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 8832 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |