Jerrold Paul Elliott III, PA-C
NPI #1982854618 in Guerneville, California
Provider Information
- NPI Number
- 1982854618
- Entity Type
- Individual
- Name
- Jerrold Paul Elliott III, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 30, 2008
- Last Updated
- Jan 25, 2021
Practice Location
- Address
- 16319 THIRD STREET
- City
- Guerneville
- State
- California
- ZIP Code
- 95446
- Phone
- (707) 869-5977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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