CLAYTON TYLER ELLIS M.D.
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1881988582- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- ULP COLORECTAL SURGERY 401 EAST CHESTNUT STREET, #710, LOUISVILLE, KY, 402025707
- Phone
- (502) 583-8303
- Fax
- (502) 588-9506
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: NC #173420
Colon & Rectal Surgery
Primary License: KY #TP364
All Addresses
LOCATION
ULP COLORECTAL SURGERY 401 EAST CHESTNUT STREET, #710
LOUISVILLE, KY, 402025707