JUSTIN ROSS ELLINGWORTH

INDIANAPOLIS, IN
NPI1780243451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: IN  75000041A)
Enumeration Date2019-06-06
Last Update Date2019-06-06
Business Address
JUSTIN ROSS ELLINGWORTH CAA
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-9981
Mailing Address
JUSTIN ROSS ELLINGWORTH CAA
950 N MERIDIAN ST STE 500
INDIANAPOLIS, IN 46204-3908
Phone number:
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