Mr. DAVID GARTH ELLERTSON Sr. M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1912964495- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 4101 TULLY RD SUITE 101, MODESTO, CA, 953568980
- Phone
- (209) 524-8346
- Fax
- (209) 524-7723
Specialties & Taxonomies
Unknown
Primary License: CA #G17987