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NPI Code Detail

MEDICARE: JOHN A ELLERTON MD.LTD DBA CANCER CONSULTANTS

MEDICARE: JOHN A ELLERTON MD.LTD DBA CANCER CONSULTANTS
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
1207RH0003XHematology & Oncology Physician3861NV

General Provider Information

NPI Number : 1679785141
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN A ELLERTON MD.LTD DBA CANCER CONSULTANTS
Provider Business Mailing Address
First Line : 2020 W. PALOMINO LN
Second Line : SUITE #110
City : LAS VEGAS
State : NV
Zip : 89106-4812
Country : US
Telephone Number : 702-384-0808
Fax Number : 702-384-9329
Provider Business Practice Location Address
First Line : 2020 W. PALOMINO LN
Second Line : SUITE #110
City : LAS VEGAS
State : NV
Zip : 89106-4812
Country : US
Telephone Number : 702-384-0808
Fax Number : 702-384-9329
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN ALLAN ELLERTON
Credential : M.D.
Telephone Number : 702-384-0808
Provider Enumeration Date : 05/04/2007
Last Update Date : 09/27/2007

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