Jonathan Edward Ellis, M.D. Valid NPI
Individual provider · Ophthalmology Physician · Biloxi, MS
- NPI
- 1972726636
- Type
- Individual (Type 1)
- Primary specialty
- Ophthalmology Physician (Ophthalmology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207W00000X
- License number
- 24142 (NE)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-11
- Last updated
- 2012-07-09
Practice location
301 Fisher St
Biloxi, MS 39534-2508
(228) 376-0452