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1174609424
MARK RYAN ELLIOTT
MIDLAND, TX
NPI
1174609424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA05006)
Additional Taxonomies
174400000X Specialist
Enumeration Date
2006-10-30
Last Update Date
2012-07-09
Business Address
Mr. MARK RYAN ELLIOTT PA
2200 W ILLINOIS AVE
MIDLAND, TX 79701-6407
Phone number: 432-685-1111
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Mailing Address
Mr. MARK RYAN ELLIOTT PA
3321 NEELY AVE APT L1
MIDLAND, TX 79707-5830
Phone number: 432-689-8479
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