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Individual

ADAM P ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
354 SANTA FE DR, ENCINITAS, CA 92024-5142
(760) 230-2251
(760) 230-2253
Mailing address
PO BOX 231189, ENCINITAS, CA 92023-1189
(760) 230-2251
(760) 230-2253

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C53403
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285731661
CA
Enumeration date
09/20/2006
Last updated
05/03/2011
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