DR. John Holbert Ellyson, MD

NPI #1336115922 in Jackson, California

Provider Information

NPI Number: 1336115922
Entity Type: Individual
Name: DR. John Holbert Ellyson, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Feb 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 340 LOWE ST
City: Jackson
State: California
ZIP Code: 95642-2544
Phone: (209) 223-2474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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