Sarah R Eli PA-C

NPI 1780691006 - Physician Assistant - 363AM0700X

NPI Details
NPI 1780691006
Gender Female
Enumeration Date 08/01/2006
Last Updated 08/27/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1111 RONALD REAGAN PKWY
AVON IN, 46123-7085, US
Phone (317) 472-7317
Fax (317) 870-0499
Business Location
950 N MERIDIAN ST
STE 500 PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46204-3908, US
Phone (317) 963-0860
Fax (317) 962-4950
Toxanomy
Taxonomy Code 363AM0700X
License State Washington
License Number PA10005238
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According to our database, Sarah R Eli PA-C NPI is 1780691006, taxonomy code is 363AM0700X and license number is PA10005238, license state is located at Washington. Sarah R Eli PA-C physically located at 1111 Ronald Reagan Pkwy, Avon IN, 46123-7085. NPI Number Sarah R Eli PA-C has the Individual type.

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1780691006 NPI number is provided on an as is basis without warranty of any kind. 1780691006 is maintained by the National Plan & Provider Enumeration System. The contents of Sarah R Eli PA-C are for informational purposes only.