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Jerrold Paul Elliott III, PA-C
Medical Physician Assistant in Guerneville, California
NPI 1982854618

Jerrold Paul Elliott III is a Medical Physician Assistant based in Guerneville, CA and is specialized in Medical. Jerrold Paul Elliott III practices in Guerneville, CA and has the professional credentials of PA-C. The NPI Number for Jerrold Paul Elliott III is 1982854618 and holds a License No. 2666 (California).

The current practice location address for Jerrold Paul Elliott III is 16319 Third Street, Guerneville, CA and can be reached out via phone at 707-869-5977 and via fax at 707-869-5983. You can also correspond with Jerrold Paul Elliott III through the mailing address at PO BOX 1449, GUERNEVILLE, CA - 95446-1449 (mailing address contact number: 707-869-5977).

Location: 16319 Third Street, Guerneville, CA, 95446-1449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982854618
Provider Name
Jerrold Paul Elliott III
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
16319 Third Street, Guerneville, CA, 95446-1449
Phone Number
707-869-5977
Fax Number
707-869-5983
Provider Enumeration Date
09/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356344758 05 CA
institution
Provider Business Practice Location Address Details
Address
16319 Third Street
City
Guerneville
State
California
Zip
95446
Phone Number
707-869-5977
Fax Number
707-869-5983
person
Provider Business Mailing Address Details
Address
16319 Third Street
City
Guerneville
State
California
Zip
95446
Phone Number
707-869-5977
Fax Number
707-869-5983
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA20527 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2666 (Colorado)
Definition
Definition to come...
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