Kurtis Don Ellis, M.D.
Family Medicine in Roy, UT. Individual provider (NPI-1).
NPI number1013150218
StatusActive
Last updated in NPPESAug 1, 2012
Details
- NPI
- 1013150218
- Entity type
- Individual (NPI-1)
- Name
- Kurtis Don Ellis
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2009
- Last updated
- Aug 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5370451-1205 | UT | Yes |
Practice location
1915 W 5950 SRoy, UT 84067-1454
Phone 801-387-8100 · Fax 801-475-1621
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Phone 801-387-8100 · Fax 801-475-1621
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