Individual provider · Type 1 NPI

Richard B. Ellison Jr., MD

Diagnostic Radiology Physician · Jackson, MS

NPI number 1699781948 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Call (877) 406-2916 Map

Fax (601) 982-7909

Mailing address

PO Box 55769
Jackson, MS 39296-5769

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X12108 (MS)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1699781948

Richard B. Ellison Jr., MD's National Provider Identifier is 1699781948, issued on Jul 31, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jackson, MS. The record was last updated on Feb 9, 2017.