person
Ellen Barnett, MD
General Practice Physician in Santa Rosa, California
NPI 1184778094

Ellen Barnett is a General Practice Physician based in Santa Rosa, CA. Ellen Barnett practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Ellen Barnett is 1184778094 and holds a License No. A368950 (California).

The current practice location address for Ellen Barnett is 175 Concourse Blvd, Santa Rosa, CA and can be reached out via phone at 707-284-9206 and via fax at 707-284-9254.

Location: 175 Concourse Blvd, Santa Rosa, CA, 95403-8217
person
Provider Profile Details
NPI Number
1184778094
Provider Name
Ellen Barnett
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
175 Concourse Blvd, Santa Rosa, CA, 95403-8217
Phone Number
707-284-9206
Fax Number
707-284-9254
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
680452627 01 CA TAX ID#
A368950 01 CA LICENSE #
institution
Provider Business Practice Location Address Details
Address
175 Concourse Blvd
City
State
Zip
95403-8217
Phone Number
707-284-9206
Fax Number
707-284-9254
person
Provider Business Mailing Address Details
Address
175 Concourse Blvd
City
State
Zip
95403-8217
Phone Number
707-284-9206
Fax Number
707-284-9254
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A368950 (California)
Definition
Definition to come...
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