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Organization
THOMAS R ELLIS MD INC
Active
Organization
THOMAS R ELLIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R. ELLIS M.D. (OWNER)
(310) 471-5852
Entity
Organization
Contact information
Practice address
450 SUTTER STREET, SAN FRANCISCO, CA 94108-4206
(415) 393-9600
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G80146
CA
Other
Enumeration date
01/19/2007
Last updated
11/11/2010
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