MR. Glen Stephen Ellis, C.P.O.
NPI #1023156130 in Castro Valley, California
Provider Information
- NPI Number
- 1023156130
- Entity Type
- Individual
- Name
- MR. Glen Stephen Ellis, C.P.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- C.P.O.
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3553 CASTRO VALLEY BLVD
- Address 2
- SUITE B
- City
- Castro Valley
- State
- California
- ZIP Code
- 94546-4400
- Phone
- (510) 537-1210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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