Individual
DR. ELLEN GRACE MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 BRYANT ST, HALL OF JUSTICE, SAN FRANCISCO, CA 94103-4603
(415) 553-1796
(415) 553-1640
Mailing address
850 BRYANT ST, HALL OF JUSTICE, SAN FRANCISCO, CA 94103-4603
(415) 553-1796
(415) 553-1640
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
A66146
CA
Other
Enumeration date
02/26/2011
Last updated
02/26/2011
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