CLYDE NEAL ELLIS Jr. MD
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1093762908- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 812 GORMAN AVE, ELKINS, WV, 262413181
- Phone
- (304) 636-3300
- Fax
- (304) 636-4331
Specialties & Taxonomies
Surgery
License: WV #35220
Colon & Rectal Surgery
License: NV #19367
Surgery
Primary License: TX #R8884