DR. Gregg Alan Ellison, MD

NPI #1073573168 in Templeton, California

Provider Information

NPI Number
1073573168
Entity Type
Individual
Name
DR. Gregg Alan Ellison, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
MD
Enumeration Date
Mar 24, 2006
Last Updated
Feb 25, 2009

Practice Location

Address
1105 LAS TABLAS RD
Address 2
STE F
ZIP Code
93465-9731
Phone
(805) 434-1851

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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