Gregg Alan Ellison MD

NPI 1073573168 - Internal Medicine - 207R00000X

NPI Details
NPI 1073573168
Gender Male
Enumeration Date 03/24/2006
Last Updated 02/25/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1105 LAS TABLAS RD
STE F
TEMPLETON CA, 93465-9731, US
Phone (805) 434-1851
Fax (805) 434-1193
Business Location
1105 LAS TABLAS RD
STE F
TEMPLETON CA, 93465, US
Phone (805) 434-1851
Fax (805) 434-1193
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A33338
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According to our database, Dr. Gregg Alan Ellison MD NPI is 1073573168, taxonomy code is 207R00000X and license number is A33338, license state is located at California. Gregg Alan Ellison MD physically located at 1105 Las Tablas Rd, Templeton CA, 93465-9731. NPI Number Gregg Alan Ellison MD has the Individual type.

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1073573168 NPI number is provided on an as is basis without warranty of any kind. 1073573168 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg Alan Ellison MD are for informational purposes only.