Organization
ROBERT R. ELLISTON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RICHARD ELLISTON M.D. (OWNER)
(650) 692-2020
Entity
Organization
Contact information
Practice address
1750 EL CAMINO REAL, SUIET 103, BURLINGAME, CA 94010-3228
(650) 692-2020
(650) 692-1441
Mailing address
1750 EL CAMINO REAL, SUIET 103, BURLINGAME, CA 94010-3228
(650) 692-2020
(650) 692-1441
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G23976
CA
Other
Enumeration date
01/25/2007
Last updated
09/01/2010
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