Michael Joseph Ellison, PA-C

NPI #1720382393 in Hanford, California

Provider Information

NPI Number: 1720382393
Entity Type: Individual
Name: Michael Joseph Ellison, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 22, 2010
Last Updated: Nov 13, 2014

Practice Location

Address: 115 MALL DR
City: Hanford
State: California
ZIP Code: 93230-5786
Phone: (559) 582-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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