Individual
NATHAN ROBERT ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1360 E HERNDON AVE STE 201, FRESNO, CA 93720-3326
(559) 449-5050
Mailing address
896 BIRCHWOOD CT, HANFORD, CA 93230-1504
(559) 940-2868
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20A18996
CA
Other
Enumeration date
05/11/2017
Last updated
04/09/2026
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