Jerome Keefer Ellis, MD | |
24 Cree Dr, Lock Haven, PA 17745-2639 | |
(570) 893-5000 | |
Not Available |
Full Name | Jerome Keefer Ellis |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 24 Cree Dr, Lock Haven, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568423366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD069228L (Pennsylvania) | Primary |
208000000X | Pediatrics | MD069228L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jerome Keefer Ellis, MD 24 Cree Dr, Lock Haven, PA 17745-2639 Ph: (570) 893-5000 | Jerome Keefer Ellis, MD 24 Cree Dr, Lock Haven, PA 17745-2639 Ph: (570) 893-5000 |
Mrs. Dana Marie Smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 955 Bellefonte Ave, Lock Haven, PA 17745 Phone: 570-748-7714 Fax: 570-893-6325 | |
Prafulchandra U Bhatt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 955 Bellefonte Ave, Lock Haven, PA 17745 Phone: 570-748-7714 Fax: 570-893-6325 |