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Patrick Boone Ellis, DO
Specialist in Norman, Oklahoma
NPI 1982636809

Patrick Boone Ellis is a Specialist based in Norman, OK. Patrick Boone Ellis practices in Norman, OK and has the professional credentials of DO. The NPI Number for Patrick Boone Ellis is 1982636809 and holds a License No. 3351 (Oklahoma).

The current practice location address for Patrick Boone Ellis is 226 W Gray St Ste 214, Norman, OK and can be reached out via phone at 405-701-5666 and via fax at 405-701-5667.

Location: 226 W Gray St Ste 214, Norman, OK, 73069-5106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982636809
Provider Name
Patrick Boone Ellis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
226 W Gray St Ste 214, Norman, OK, 73069-5106
Phone Number
405-701-5666
Fax Number
405-701-5667
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100138180B 05 OK
institution
Provider Business Practice Location Address Details
Address
226 W Gray St Ste 214
City
Norman
State
Oklahoma
Zip
73069-7132
Phone Number
405-701-5666
Fax Number
405-701-5667
person
Provider Business Mailing Address Details
Address
226 W Gray St Ste 214
City
Norman
State
Oklahoma
Zip
73069-7132
Phone Number
405-701-5666
Fax Number
405-701-5667
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3351 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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