Individual provider · Type 1 NPI
Patrick Boone Ellis, DO
Specialist · Norman, OK
NPI number
1982636809
Active
Practice location
226 W Gray St Ste 214
Norman, OK 73069-7132
Fax (405) 701-5667
Mailing address
520 24th Ave S.w.
Norman, OK 73069-5106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 3351 (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1982636809
Patrick Boone Ellis, DO's National Provider Identifier is 1982636809, issued on Jul 7, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Norman, OK. The record was last updated on Sep 28, 2022.