Individual provider · Type 1 NPI

Richard Leroy Ellis, MD

General Practice Physician · Birmingham, AL

NPI number 1104010206 Active

Practice location

2657 Park Lane Ct East--Unit F
Birmingham, AL 35223

Call (205) 879-1386 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XDO145 (AL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1104010206

Richard Leroy Ellis, MD's National Provider Identifier is 1104010206, issued on Aug 31, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Birmingham, AL. The record was last updated on Aug 31, 2007.