Ellis William Leroy in Payson - Internal Medicine
Ellis William Leroy - NPI 1356432009
Ellis William Leroy is a Internal Medicine in Payson, Utah. Ellis William Leroy practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ellis William Leroy is 1356432009. The last update date is 2010-01-11.
Ellis William Leroy's current location address is 1120 E 100 N, Payson, Utah. You can contact this provider via phone number 8014654813 and fax number 8014657207. The mailing address for Ellis William Leroy is 1120 E 100 N, Payson, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis William Leroy |
|---|---|
| Address | 1120 E 100 N, Payson, Utah |
| Phone Number | 8014654813 |
| Fax Number | 8014657207 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356432009 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2010-01-11 |
Provider Mailing Address Detail
| Address | 1120 E 100 N |
|---|---|
| City | Payson |
| State | Utah (UT) |
| Post Code | 84651 |
| Phone Number | 8014654813 |
| Fax Number | 8014657207 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 159570-1205 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22811 | UT | PEHP | |
| 36374 | UT | DMBA | |
| 870281028EWJ | UT | EMIA | |
| 110090648 | UT | PALMETTO | |
| 87028108000 | UT | -- | |
| 04-00323 | UT | UTAH HEALTHCARE | |
| 10700660401 | UT | IHC | |
| QMXAF0342 | UT | ALTIUS |
Post Comment/ Review Below
What is the Ellis William Leroy's unique identification number?
The Ellis William Leroy has been assigned the NPI (National Provider Identifier) Number 1356432009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Ellis William Leroy is physically located?
The Ellis William Leroy is physically situated at the following address: 1120 E 100 N, Payson, UT, 84651.
When did the Ellis William Leroy receive its 1356432009?
The Ellis William Leroy was issued its 1356432009 on 2006-09-27, which is the date when the organization was assigned this unique identifier.
On what date did the Ellis William Leroy receive its 1356432009 assignment from the Centers for Medicare & Medicaid Services?
The Ellis William Leroy was assigned its 1356432009 by the Centers for Medicare & Medicaid Services on 2006-09-27.
As of what date were the details related to Ellis William Leroy most recently updated or revised?
The information pertaining to Ellis William Leroy, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-11.