Organization
BRUCE E. ELLISON, MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE E ELLISON MD (PRESIDENT)
(650) 366-4585
Entity
Organization
Contact information
Practice address
2940 WHIPPLE AVE, SUITE E, REDWOOD CITY, CA 94062-2857
(650) 366-4585
(650) 366-3896
Mailing address
2940 WHIPPLE AVE, SUITE E, REDWOOD CITY, CA 94062-2857
(650) 366-4585
(650) 366-3896
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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