MR. DAVID ELLERTSON SR., M.D.

Surgery - Vascular Surgery

Active Individual
NPI: 1912964495

Practice Address

4101 TULLY RD
SUITE 101
Modesto, CA 95356

Phone: (209) 524-8346

Specialties

Specialty Code Primary License
Surgery - Vascular Surgery 2086S0129X Yes G17987 (CA)

Frequently Asked Questions

NPI 1912964495 is the National Provider Identifier for MR. DAVID ELLERTSON SR., M.D., a Surgery - Vascular Surgery provider located in Modesto, CA. This NPI was enumerated on April 27, 2006.
MR. DAVID ELLERTSON SR., M.D. practices at 4101 TULLY RD, SUITE 101, Modesto, CA 95356.

Quick Facts

NPI
1912964495
Type
Individual
Enumerated
Apr 27, 2006
Last Updated
Feb 12, 2015