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Dr. Zachary Dimitri Ellis, DO
Student in an Organized Health Care Education/Training Program in Oxford, Mississippi
NPI 1124778873

Zachary Dimitri Ellis is a Student in an Organized Health Care Education/Training Program based in Oxford, MS. Zachary Dimitri Ellis practices in Oxford, MS and has the professional credentials of DO. The NPI Number for Zachary Dimitri Ellis is 1124778873 and holds a License No. (Mississippi).

The current practice location address for Zachary Dimitri Ellis is 1100 Belk Blvd, Oxford, MS and can be reached out via phone at 662-636-1000 and via fax at 662-636-1670.

Location: 1100 Belk Blvd, Oxford, MS, 38655-5242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124778873
Provider Name
Zachary Dimitri Ellis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1100 Belk Blvd, Oxford, MS, 38655-5242
Phone Number
662-636-1000
Fax Number
662-636-1670
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Belk Blvd
City
Oxford
State
Mississippi
Zip
38655-5242
Phone Number
662-636-1000
Fax Number
662-636-1670
person
Provider Business Mailing Address Details
Address
1100 Belk Blvd
City
Oxford
State
Mississippi
Zip
38655-5242
Phone Number
662-636-1000
Fax Number
662-636-1670
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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