institution
Jeri L Ellis Md, Mph, Pc
Primary Care Clinic/Center in Shawnee, Oklahoma
NPI 1538672001

Jeri L Ellis Md, Mph, Pc is a Primary Care Clinic/Center based in Oklahoma City, OK and is specialized in Primary Care. Jeri L Ellis Md, Mph, Pc practices in Shawnee, OK. The NPI Number for Jeri L Ellis Md, Mph, Pc is 1538672001 and holds a License No. (Oklahoma).

The current practice location address for Jeri L Ellis Md, Mph, Pc is 420 N Kickapoo Ave, Shawnee, OK and can be reached out via phone at 400-581-6331.

Location: 420 N Kickapoo Ave, Shawnee, OK, 73132-5149
institution
Provider Profile Details
NPI Number
1538672001
Provider Name
Jeri L Ellis Md, Mph, Pc
Credential
Provider Entity Type
Organization
Address
420 N Kickapoo Ave, Shawnee, OK, 73132-5149
Phone Number
400-581-6331
Fax Number
Provider Enumeration Date
11/07/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 N Kickapoo Ave
City
State
Zip
74801-6643
Phone Number
400-581-6331
Fax Number
person
Provider Business Mailing Address Details
Address
420 N Kickapoo Ave
City
State
Zip
74801-6643
Phone Number
400-581-6331
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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