Individual
ELLSWORTH PAXTON PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
23928 LYONS AVE, 208, NEWHALL, CA 91321-2409
(661) 255-8544
Mailing address
23928 LYONS AVE, 208, NEWHALL, CA 91321
(661) 255-8544
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G29880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G298800
—
CA
Enumeration date
06/14/2006
Last updated
12/21/2016
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