Individual
ROBERT BRIAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 W EL NORTE PKWY, ESCONDIDO, CA 92026-1925
(760) 489-1505
Mailing address
3111 COWLEY WAY, SAN DIEGO, CA 92117-6554
(267) 474-4696
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3140
CA
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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