Organization
ELLY LAROQUE M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLY LAROQUE M.D. (OWNER)
(415) 776-7878
Entity
Organization
Contact information
Practice address
2299 POST ST, STE 107, SAN FRANCISCO, CA 94115-3443
(415) 776-7878
Mailing address
2299 POST ST, STE 107, SAN FRANCISCO, CA 94115-3443
(415) 776-7878
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A79971
CA
Other
Enumeration date
09/12/2012
Last updated
11/02/2012
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