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1003812744
MARK GREGORY ELLIS
EUREKA, CA
NPI
1003812744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G65432)
Enumeration Date
2005-06-27
Last Update Date
2018-03-17
Business Address
Dr. MARK GREGORY ELLIS MD
2200 TYDD ST
EUREKA, CA 95501-1284
Phone number: 707-269-7051
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Mailing Address
Dr. MARK GREGORY ELLIS MD
670 9TH ST STE 203
ARCATA, CA 95521-6249
Phone number: 707-826-8633
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