Organization
JOHN ELLOWAY MD A PROFESSIONAL CORP
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ELLOWAY M.D. (DIRECTOR)
(415) 892-3300
Entity
Organization
Contact information
Practice address
1324 GRANT AVE, NOVATO, CA 94945-3152
(415) 892-3300
(415) 897-0079
Mailing address
1324 GRANT AVE, NOVATO, CA 94945-3152
(415) 892-3300
(415) 897-0079
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ZZZ24941Z
CA
Other
Enumeration date
03/21/2008
Last updated
11/15/2012
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