Individual
SEAN MCELLIGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 HILYARD ST, SUITE 520, EUGENE, OR 97401-8122
(458) 205-6129
(458) 205-6160
Mailing address
17 MEADOW RD APT 306, RUTHERFORD, NJ 07070-2009
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD170325
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2010
Last updated
12/14/2017
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