person
Richard Leroy Ellis, MD
General Practice Physician in Birmingham, Alabama
NPI 1104010206

Richard Leroy Ellis is a General Practice Physician based in Birmingham, AL. Richard Leroy Ellis practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Richard Leroy Ellis is 1104010206 and holds a License No. DO145 (Alabama).

The current practice location address for Richard Leroy Ellis is 2657 Park Lane Ct East--Unit F, Birmingham, AL and can be reached out via phone at 205-879-1386. You can also correspond with Richard Leroy Ellis through the mailing address at 2657 PARK LANE CT EAST--UNIT F, BIRMINGHAM, AL - 35223 (mailing address contact number: 205-879-1386).

Location: 2657 Park Lane Ct East--Unit F, Birmingham, AL, 35223
person
Provider Profile Details
NPI Number
1104010206
Provider Name
Richard Leroy Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2657 Park Lane Ct East--Unit F, Birmingham, AL, 35223
Phone Number
205-879-1386
Fax Number
Provider Enumeration Date
08/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2657 Park Lane Ct East--Unit F
City
State
Zip
35223
Phone Number
205-879-1386
Fax Number
person
Provider Business Mailing Address Details
Address
2657 Park Lane Ct East--Unit F
City
State
Zip
35223
Phone Number
205-879-1386
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
DO145 (Alabama)
Definition
Definition to come...
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