Michael Ellis, MD

NPI 1780650093 · on the registry since 2006

Practice

Address: 562 Gregory St
Black Hawk, CO 80422
Phone: (303) 582-5276
Fax: (303) 582-1003
Organisation at this address: Mountain Family Health Centers
Mountain Family Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado