Doctor Name: | DR. DAVID PAUL ELLIS |
NPI Number: | 1659411080 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., M.B.A |
License Number: | 51095 |
Business Practice Address: | 118 N 7th Ave Sheldon, IA - 512011235 |
Business Phone Number: | 7123246366 |
Business Fax Number: | |
Mailing Address: | Po Box 5074, SIOUX FALLS |
State: | SD |
Postal Code: | 571175074 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 12/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 51095 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |