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Robert Greg Ellis, PA-C
Surgical Physician Assistant in Skowhegan, Maine
NPI 1912927971

Robert Greg Ellis is a Surgical Physician Assistant based in Skowhegan, ME and is specialized in Surgical. Robert Greg Ellis practices in Skowhegan, ME and has the professional credentials of PA-C. The NPI Number for Robert Greg Ellis is 1912927971 and holds a License No. PA575 (Maine).

The current practice location address for Robert Greg Ellis is 46 Fairview Ave Ste 223, Skowhegan, ME and can be reached out via phone at 207-474-7045 and via fax at 207-474-5173.

Location: 46 Fairview Ave Ste 223, Skowhegan, ME, 04976-0468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912927971
Provider Name
Robert Greg Ellis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
46 Fairview Ave Ste 223, Skowhegan, ME, 04976-0468
Phone Number
207-474-7045
Fax Number
207-474-5173
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912927971 05 ME
AP185001 01 ME MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
46 Fairview Ave Ste 223
City
Skowhegan
State
Maine
Zip
04976-1481
Phone Number
207-474-7045
Fax Number
207-474-5173
person
Provider Business Mailing Address Details
Address
46 Fairview Ave Ste 223
City
Skowhegan
State
Maine
Zip
04976-1481
Phone Number
207-474-7045
Fax Number
207-474-5173
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA575 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA575 (Maine)
Definition
Definition to come...
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