John Elloway Md A Professional Corp in Novato - Primary Care

John Elloway Md A Professional Corp - NPI 1174794770

John Elloway Md A Professional Corp is a Primary Care in Novato, California. John Elloway Md A Professional Corp practices all healthcare services and medical treatments related to Primary Care. The NPI Number for John Elloway Md A Professional Corp is 1174794770. The last update date is 2012-11-15.

John Elloway Md A Professional Corp's current location address is 1324 Grant Ave, Novato, California. You can contact this provider via phone number 4158923300 and fax number 4158970079. The mailing address for John Elloway Md A Professional Corp is 1324 Grant Ave, Novato, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization John Elloway Md A Professional Corp
Address 1324 Grant Ave, Novato, California
Phone Number 4158923300
Fax Number 4158970079
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Elloway John
Credentials M.D.
Telephone Number 4158923300

NPI Number Detail

NPI Number 1174794770
Provider Enumeration Date 2008-03-21
Last Updated Date 2012-11-15

Provider Mailing Address Detail

Address 1324 Grant Ave
City Novato
State California (CA)
Post Code 949453152
Phone Number 4158923300
Fax Number 4158970079

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No ZZZ24941Z
Definition:
Serves as the first point of contact for comprehensive healthcare services.

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FAQs about John Elloway Md A Professional Corp

What is the unique provider identifier assigned to John Elloway Md A Professional Corp?

The John Elloway Md A Professional Corp has been issued the NPI (National Provider Identifier) 1174794770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where John Elloway Md A Professional Corp is located?

The John Elloway Md A Professional Corp is situated at the following address: 1324 Grant Ave, Novato, CA, 949453152.

What is John Elloway Md A Professional Corp's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Elloway Md A Professional Corp is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1174794770 to John Elloway Md A Professional Corp?

The Centers for Medicare & Medicaid Services assigned the 1174794770 to John Elloway Md A Professional Corp on 2008-03-21.

When was the information pertaining to John Elloway Md A Professional Corp most recently updated or revised?

The details related to John Elloway Md A Professional Corp, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-15.

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