MARK BRIAN ELLIS

ENTERPRISE, AL
NPI1083632244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  DO463)
Enumeration Date2006-07-17
Last Update Date2018-04-04
Business Address
Dr. MARK BRIAN ELLIS D.O.
1018 RUCKER BLVD STE A
ENTERPRISE, AL 36330-3675
Phone number: 334-347-4343
Mailing Address
Dr. MARK BRIAN ELLIS D.O.
1018 RUCKER BLVD STE A
ENTERPRISE, AL 36330-3675
Phone number: 334-347-4343
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