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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK GREGORY ELLIS, MD

Active

DR. MARK GREGORY ELLIS, MD is a Pediatrics healthcare provider located in EUREKA, California. NPI 1003812744 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · EUREKA, CA

Registration Details

NPI Number
1003812744
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2005 (21.119067956704 yrs)
Last Updated
Mar 17, 2018
License
G65432 (CA)

Practice Information

Address
2200 TYDD ST
EUREKA, CA, 955011284
Browse CA providers · Browse ZIP 95501
Phone
7072697051
Fax
7072697054
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in EUREKA, CA

Name Credential NPI
MRS. EMILY LAMBERT DALTON MD 1235133737
MR. CHRISTOPHER LEE CODY MD 1629074570
MR. JEFFREY TODD RIBORDY MD 1467458380
JAMES J MATSUDA MD 1720066061
DR. PIPPA ELAYNE COULTER MD, PHD 1033183777
DR. LESLIE A FITTINGHOFF MD 1902844046
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.