Whalio Doctors

NPI 1427062660

Elena Tootell, MD

Practitioner Family Medicine Physician San Quentin, CA

Practice location

Address
Office of the Cmo San Quentin State Prison, San Quentin, CA 94964
Phone
(415) 721-3511
Fax
(415) 721-3512
Mailing address
PO Box 333, San Quentin, CA 94964-0333

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence A87667 (CA)

Registry record

NPI
1427062660
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jul 2006
Record last updated
3 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.