Individual
ELLIOTT FREDERICK ELLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 S NEVADA ST, OCEANSIDE, CA 92054-3135
(760) 754-2326
Mailing address
235 S NEVADA ST, OCEANSIDE, CA 92054-3135
(760) 754-2326
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C43048
CA
Other
Enumeration date
09/12/2006
Last updated
03/07/2023
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