THOMAS R ELLIS MD INC
Anesthesiologist Assistant at Sutter St, San Francisco, CA

License number
California G80146
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. THOMAS R. ELLIS M.D.
Title: OWNER
Phone: (310) 471-5852
Address
Address 2
450 Sutter St, San Francisco, CA 94108
PO Box 7096, Stockton, CA 95267
National Provider ID: 1710030069
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THOMAS R. ELLIS, MD, INC

1105 Bosworth St, San Francisco, CA 94131

Industry:
Medical Doctor's Office
Doing business as:
Thomas R Ellis MD Inc<br>Thomas R. Ellis
Registration:
Mar 19, 1999
Phone:
(415) 337-9565 (Phone)
State ID:
C2159798
Business type:
Articles of Incorporation
President:
Thomas R. Ellis (President)
Agent:
Thomas R Ellis,San Francisco, CA 94131 (Physical)
SIC:
8611 - Business Associations
Categories:
Medical Services

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