Ellington Medical Services INC
NPI #1316330202 in Oakland, California
Provider Information
- NPI Number
- 1316330202
- Entity Type
- Organization
- Organization Name
- Ellington Medical Services INC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Mar 17, 2015
- Last Updated
- Jul 7, 2015
Practice Location
- Address
- 5715 MARKET ST
- City
- Oakland
- State
- California
- ZIP Code
- 94608-2811
- Phone
- (510) 225-3977
Authorized Official
- Name
- OMAR STAPLES, PA
- Title
- OWNER/PHYSICIAN ASSISTANT
- Phone
- (510) 225-3977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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