JOHN ELLIS — Medicare Enrolled Provider (PRACTITIONER - EMERGENCY MEDICINE, MT)
JOHN ELLIS — Medicare Enrolled Provider (PRACTITIONER - EMERGENCY MEDICINE, MT) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: JOHN ELLIS; Type: Individual; NPI: 1003221037.
| Name | JOHN ELLIS |
|---|---|
| Type | Individual |
| NPI | 1003221037 |
| Provider type | PRACTITIONER - EMERGENCY MEDICINE |
| State | MT |
| Enrollment ID | I20251206000417 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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