person
Gregory Lee Ellison, MD
Family Medicine Physician in Tempe, Arizona
NPI 1669567434

Gregory Lee Ellison is a Family Medicine Physician based in Tempe, AZ. Gregory Lee Ellison practices in Tempe, AZ and has the professional credentials of MD. The NPI Number for Gregory Lee Ellison is 1669567434 and holds a License No. MD12426 (Arizona).

The current practice location address for Gregory Lee Ellison is 2127 E Baseline Rd Ste 104, Tempe, AZ and can be reached out via phone at 480-897-7070 and via fax at 480-897-2597.

Location: 2127 E Baseline Rd Ste 104, Tempe, AZ, 85283-1537
person
Provider Profile Details
NPI Number
1669567434
Provider Name
Gregory Lee Ellison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2127 E Baseline Rd Ste 104, Tempe, AZ, 85283-1537
Phone Number
480-897-7070
Fax Number
480-897-2597
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080055004 01 AZ RAILROAD MEDICARE
214510 05 AZ
AZ0006680 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2127 E Baseline Rd Ste 104
City
State
Zip
85283-1537
Phone Number
480-897-7070
Fax Number
480-897-2597
person
Provider Business Mailing Address Details
Address
2127 E Baseline Rd Ste 104
City
State
Zip
85283-1537
Phone Number
480-897-7070
Fax Number
480-897-2597
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD12426 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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