DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. RANDAL STUART ELLOWAY DDS

MEDICARE: DR. RANDAL STUART ELLOWAY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry40581CA
2122300000XDentistDDS40581CA

General Provider Information

NPI Number : 1942345251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDAL STUART ELLOWAY DDS
Provider Business Mailing Address
First Line : 2426 S MAIN ST
Second Line : RED BLUFF
City : RED BLUFF
State : CA
Zip : 96080-4337
Country : US
Telephone Number : 530-527-6777
Fax Number : 530-527-6551
Provider Business Practice Location Address
First Line : 2426 S MAIN ST
Second Line :
City : RED BLUFF
State : CA
Zip : 96080-4337
Country : US
Telephone Number : 530-527-6777
Fax Number : 530-527-6551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 10/27/2022

Similar Medicare Providers

1528175031 — MR. EDWIN JACOB STROMAN III P.T., A.T.C., C.S.C.
Practice Location Address:
2490 S MAIN ST
RED BLUFF, CA
96080-4337
Practice Phone: 530-529-3636
Practice Fax: 530-529-2241
1942302369 — MRS. DONNA LYNN ROSS M.P.T., M.T.C.
Practice Location Address:
2490 S MAIN ST
RED BLUFF, CA
96080-4337
Practice Phone: 530-529-3636
Practice Fax: 530-529-2241
1457450348 — JAYME MICHELLE BAYS MPT
Practice Location Address:
2490 S MAIN ST
RED BLUFF, CA
96080-4337
Practice Phone: 530-529-3636
Practice Fax: 530-529-2241
1922194786 — PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Practice Location Address:
2490 S MAIN ST
RED BLUFF, CA
96080-4337
Practice Phone: 530-529-3636
Practice Fax: 530-529-3797
1912115510 — LONNIE R. SCOTT MA, ATC
Practice Location Address:
2490 S MAIN ST
RED BLUFF, CA
96080-4337
Practice Phone: 530-529-3636
Practice Fax: 530-529-3797
1740453398 — DALE MENDENHALL MPT
Practice Location Address:
2490 S MAIN ST
RED BLUFF, CA
96080-4337
Practice Phone: 530-529-3636
Practice Fax: 530-529-2241

Directions to “ DR. RANDAL STUART ELLOWAY DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.