Individual
DR. BRADLEY CHARLES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 E RIVER PARK PL W STE 507, FRESNO, CA 93720-1565
(559) 603-7378
Mailing address
45 E RIVER PARK PL W STE 507, FRESNO, CA 93720-1565
(559) 603-7378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A107115
CA
Other
Enumeration date
02/23/2006
Last updated
01/10/2024
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