Individual
ELLIOTT K MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 CALIFORNIA ST, G321, SAN FRANCISCO, CA 94118-1618
(415) 600-6388
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6844
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G60241
CA
Other
Enumeration date
07/18/2006
Last updated
12/10/2010
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