IndividualActive
Robert Ellis, M.D.
NPI 1003805698 · Obstetrics & Gynecology Physician · Powell, WY
Provider details
- NPI number
- 1003805698
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4198A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
450 Mountain View St
Powell, WY 82435-2212
Phone: (307) 754-7257
Fax: (307) 754-7217
Approximate (ZIP-level) locationGet directions
Mailing address
449 Mountain View St
Powell, WY 82435-2232
Registry dates
- Enumerated
- 2005-10-17
- Last updated
- 2007-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.