Most Relevant Information
Provider Data
| NPI Number: | 1003805698 |
| Provider Name: | ROBERT F ELLIS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | 4198A |
Most Important Dates
| Enumeration Date: | 10/17/2005 |
| Last Updated: | 10/19/2007 |
Provider Practice Location
450 MOUNTAIN VIEW ST
POWELL
WY
824352212
Practice Location Phone/Fax
| Phone: | 3077547257 |
| Fax: | 3077547217 |
Provider Mailing Location
449 MOUNTAIN VIEW ST
POWELL
WY
824352232
Provider Mailing Phone/Fax
| Phone: | 3077544559 |
| Fax: | 3077547733 |
Suggested EMR
OBGYN EMR