Individual
DAVID ELLIS DISBROW
Active
Individual
DAVID ELLIS DISBROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
32837
SC
208C00000X
Colon & Rectal Surgery Physician
Primary
A148973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328372
—
SC
Enumeration date
04/28/2010
Last updated
08/18/2022
Update your record
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