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1366975088
MICHAEL S ELLIS
SALT LAKE CITY, UT
NPI
1366975088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 10957049-1205)
Enumeration Date
2017-04-10
Last Update Date
2018-10-10
Business Address
MICHAEL S ELLIS M.D.
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone number: 801-662-5700
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Mailing Address
MICHAEL S ELLIS M.D.
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone number: 801-662-5700
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