Eric D Elder PAC

NPI 1013014273 - Physician Assistant - 363A00000X

NPI Details
NPI 1013014273
Gender Male
Enumeration Date 09/20/2006
Last Updated 06/11/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
LOUISVILLE KY, 40207-4605, US
Phone (502) 899-7646
Fax (502) 899-7648
Business Location
PO BOX 6749
LOUISVILLE KY, 40206-0749, US
Phone (502) 899-7646
Fax (502) 899-7648
Taxonomy Code 363A00000X
License State Kentucky
License Number PA932
Remove 1013014273 NPI Number

According to our database, Eric D Elder PAC NPI is 1013014273, taxonomy code is 363A00000X and license number is PA932, license state is located at Kentucky. Eric D Elder PAC physically located at 4000 Kresge Way, Louisville KY, 40207-4605. NPI Number Eric D Elder PAC has the Individual type.

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1013014273 NPI number is provided on an as is basis without warranty of any kind. 1013014273 is maintained by the National Plan & Provider Enumeration System. The contents of Eric D Elder PAC are for informational purposes only.