KEN RICHARD ELLZEY

CLOVIS, CA
NPI1861571903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  C40990)
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
KEN RICHARD ELLZEY MD
2071 HERNDON AVE
CLOVIS, CA 93611-6101
Phone number: 559-324-5100
Mailing Address
KEN RICHARD ELLZEY MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262