Individual
MR. COLIN R ELIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58846
CA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
11/03/2020
Last updated
02/08/2023
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