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Dr. Jon Gabriel Ellison, MD
Diagnostic Radiology Physician in La Mesa, California
NPI 1760630669

Jon Gabriel Ellison is a Diagnostic Radiology Physician based in La Mesa, CA and is specialized in Diagnostic Radiology. Jon Gabriel Ellison practices in La Mesa, CA and has the professional credentials of MD. The NPI Number for Jon Gabriel Ellison is 1760630669 and holds a License No. 125049476 (California).

The current practice location address for Jon Gabriel Ellison is 7777 Alvarado Rd Ste 108, La Mesa, CA and can be reached out via phone at 619-460-2774 and via fax at 619-460-2774.

Location: 7777 Alvarado Rd Ste 108, La Mesa, CA, 91942-8245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760630669
Provider Name
Jon Gabriel Ellison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7777 Alvarado Rd Ste 108, La Mesa, CA, 91942-8245
Phone Number
619-460-2774
Fax Number
619-460-2774
Provider Enumeration Date
09/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7777 Alvarado Rd Ste 108
City
La Mesa
State
California
Zip
91942-8245
Phone Number
619-460-2774
Fax Number
619-460-2774
person
Provider Business Mailing Address Details
Address
7777 Alvarado Rd Ste 108
City
La Mesa
State
California
Zip
91942-8245
Phone Number
619-460-2774
Fax Number
619-460-2774
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
125049476 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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