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Individual

DR. ELLIS RAPHAEL DIAMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3554 CALLE PALMITO, CARLSBAD, CA 92009-8958
(760) 436-5010
(760) 436-5523
Mailing address
3554 CALLE PALMITO, CARLSBAD, CA 92009-8958
(760) 436-5010
(760) 436-5523

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G35971
CA

Other

Enumeration date
06/21/2011
Last updated
06/21/2011
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