Individual provider · Type 1 NPI
David Garth Ellertson Sr., MD
Vascular Surgery Physician · Modesto, CA
NPI number
1912964495
Active
Practice location
4101 Tully Rd, Suite 101
Modesto, CA 95356-8980
Fax (209) 524-7723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | G17987 (CA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3 other providers at this address
Other vascular surgery physician providers in Modesto
About NPI 1912964495
David Garth Ellertson Sr., MD's National Provider Identifier is 1912964495, issued on Apr 27, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Modesto, CA. The record was last updated on Feb 12, 2015.