Individual
DR. ELYSA JILL MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 PARNASSUS AVE, STE 609, SAN FRANCISCO, CA 94143-0001
(415) 353-2567
(415) 353-2400
Mailing address
350 PARNASSUS AVE, STE 609, SAN FRANCISCO, CA 94143-0137
(415) 353-2567
(415) 353-2400
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
A78152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A781520
—
CA
01
—
A78152
LICENSE
CA
Enumeration date
11/22/2006
Last updated
07/08/2007
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