ELLIS WILLIAM LEROY

PAYSON, UT
NPI1356432009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  159570-1205)
Enumeration Date2006-09-27
Last Update Date2010-01-11
Business Address
-- ELLIS WILLIAM LEROY MD
1120 E 100 N # 1
PAYSON, UT 84651
Phone number: 801-465-4813
Mailing Address
-- ELLIS WILLIAM LEROY MD
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-429-8000