MARK H ELLIS

FAIRFIELD, CA
NPI1144317462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A26035)
Additional Taxonomies207RI0200X Internal Medicine Infectious Disease
(Licence: CA  A26035)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
MARK H ELLIS MD
1234 EMPIRE ST
FAIRFIELD, CA 94533-5711
Phone number: 707-426-3911
Mailing Address
MARK H ELLIS MD
PO BOX 255668
SACRAMENTO, CA 95865-5668
Phone number: 800-470-0071