Dr MARK ELLIS is a male medical professional, specializing in Podiatry. He graduated in 2011.
SAN CARLOS APACHE HEALTHCARE CORPORATION
103 MEDICINE WAY RD
PERIDOT
AZ
855420787
Tel: 9284751200
| Npi | 1972897080 |
| Pac Id | 5294957320 |
| Professional Enrollment Id | I20171116000146 |
| Last Name | ELLIS |
| First Name | MARK |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | SAN CARLOS APACHE HEALTHCARE CORPORATION |
| Group Practice Pac Id | 0648580597 |
| Number Of Group Practice Members | 92 |
| Line 1 Street Address | 103 MEDICINE WAY RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PERIDOT |
| State | AZ |
| Zip Code | 855420787 |
| Phone Number | 9284751200 |
| Hospital Affiliation Ccn 1 | 031314 |
| Hospital Affiliation Lbn 1 | COBRE VALLEY REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 030077 |
| Hospital Affiliation Lbn 2 | SAN CARLOS APACHE HEALTHCARE CORP |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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