Ronald B Elder M.D., PSC

NPI 1043217169 - Pediatrics - 208000000X

NPI Details
NPI 1043217169
Gender Male
Enumeration Date 07/05/2005
Last Updated 06/05/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1623 NASHVILLE ST
SUITE 201
RUSSELLVILLE KY, 42276-8889, US
Phone (270) 726-3303
Fax (270) 726-3910
Business Location
1623 NASHVILLE ST
SUITE 201
RUSSELLVILLE KY, 42276-8889, US
Phone (270) 726-3303
Fax (270) 726-3910
Toxanomy
Taxonomy Code 208000000X
License State Kentucky
License Number 34620
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According to our database, Dr. Ronald B Elder M.D., PSC NPI is 1043217169, taxonomy code is 208000000X and license number is 34620, license state is located at Kentucky. Ronald B Elder M.D., PSC physically located at 1623 Nashville St, Russellville KY, 42276-8889. NPI Number Ronald B Elder M.D., PSC has the Individual type.

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1043217169 NPI number is provided on an as is basis without warranty of any kind. 1043217169 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald B Elder M.D., PSC are for informational purposes only.