LARRY L ELLIS

TULSA, OK
NPI1972572576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  3803)
Enumeration Date2006-03-16
Last Update Date2011-03-07
Business Address
-- LARRY L ELLIS DO
2345 SOUTHWEST BLVD
TULSA, OK 74107-2705
Phone number: 918-582-1980
Mailing Address
-- LARRY L ELLIS DO
2345 SOUTHWEST BLVD
TULSA, OK 74107-2705
Phone number: 918-582-1980
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