Individual
ELLIOTT SINCLAIR BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(909) 724-4127
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A18018
CA
Other
Enumeration date
05/06/2018
Last updated
08/24/2024
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