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Mr. Ryan Michael Ellis, PA
Medical Physician Assistant in Wildomar, California
NPI 1528336146

Ryan Michael Ellis is a Medical Physician Assistant based in Wildomar, CA and is specialized in Medical. Ryan Michael Ellis practices in Wildomar, CA and has the professional credentials of PA. The NPI Number for Ryan Michael Ellis is 1528336146 and holds a License No. PA21959 (California).

The current practice location address for Ryan Michael Ellis is 36485 Inland Valley Dr, Wildomar, CA and can be reached out via phone at 951-566-5610.

Location: 36485 Inland Valley Dr, Wildomar, CA, 92595-9681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528336146
Provider Name
Ryan Michael Ellis
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
36485 Inland Valley Dr, Wildomar, CA, 92595-9681
Phone Number
951-566-5610
Fax Number
Provider Enumeration Date
12/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
36485 Inland Valley Dr
City
Wildomar
State
California
Zip
92595-9681
Phone Number
951-566-5610
Fax Number
person
Provider Business Mailing Address Details
Address
36485 Inland Valley Dr
City
Wildomar
State
California
Zip
92595-9681
Phone Number
951-566-5610
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA21959 (California)
Definition
Definition to come...
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