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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFREY COWAN ELLISON, MD

Active Sole Proprietor

DR. JEFFREY COWAN ELLISON, MD is a Gastroenterology healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1407040488 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · FAYETTEVILLE, AR

Registration Details

NPI Number
1407040488
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2007 (18.968799582307 yrs)
Last Updated
Nov 2, 2021
Licenses
E-6356 (AR)
25527 (AR)
Sole Proprietor
Yes

Practice Information

Address
3344 N FUTRALL DR
FAYETTEVILLE, AR, 727034057
Browse AR providers · Browse ZIP 72703
Phone
4795218200
Fax
4795827310
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Internal Medicine

Other Gastroenterology Providers in FAYETTEVILLE, AR

Name Credential NPI
CHAD E PASCHALL MD 1780627034
WILLIAM C MARTIN MD 1609811603
GARY A THOMAS MD 1831125731
MICHAEL L ROGERS MD 1992731707
DR. STEPHEN BRADLEY HICKS M.D. 1225492531
PARTH PATEL M.D. 1083140164
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.