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Harry P Ellison, MD
Diagnostic Radiology Physician in La Mesa, California
NPI 1780639039

Harry P Ellison is a Diagnostic Radiology Physician based in La Mesa, CA and is specialized in Diagnostic Radiology. Harry P Ellison practices in La Mesa, CA and has the professional credentials of MD. The NPI Number for Harry P Ellison is 1780639039 and holds a License No. G50309 (California).

The current practice location address for Harry P Ellison is 8881 Fletcher Parkway, La Mesa, CA and can be reached out via phone at 619-461-1830 and via fax at 619-797-1484.

Location: 8881 Fletcher Parkway, La Mesa, CA, 91942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780639039
Provider Name
Harry P Ellison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8881 Fletcher Parkway, La Mesa, CA, 91942
Phone Number
619-461-1830
Fax Number
619-797-1484
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G503090 05 CA
00G503090 01 CA BLUE SHIELD PIN
institution
Provider Business Practice Location Address Details
Address
8881 Fletcher Parkway
City
La Mesa
State
California
Zip
91942
Phone Number
619-461-1830
Fax Number
619-797-1484
person
Provider Business Mailing Address Details
Address
8881 Fletcher Parkway
City
La Mesa
State
California
Zip
91942
Phone Number
619-461-1830
Fax Number
619-797-1484
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G50309 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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