Individual
ELLISON H CORDRAY
Active
Individual
ELLISON H CORDRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G66464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G66464
CA MEDICAL LICENSE
CA
Enumeration date
10/03/2006
Last updated
07/09/2007
Update your record
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