DANIEL ELLS

COEUR D ALENE, ID
NPI1821530650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  4654)
Additional Taxonomies363A00000X Physician Assistant
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-11-10
Last Update Date2024-03-05
Business Address
DANIEL ELLS
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4000
Mailing Address
DANIEL ELLS
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-355-4806