MEDICARE: ADAM ELWIR

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
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist		AZ

General Provider Information

NPI Number	:	1417803636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM ELWIR

Provider Business Mailing Address
First Line	:	7202 S 58TH AVE
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-2267
Country	:	US
Telephone Number	:	951-834-7531
Fax Number	:

Provider Business Practice Location Address
First Line	:	3203 JAHN AVE NW SUITE 238
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335
Country	:	US
Telephone Number	:	360-742-3538
Fax Number	:	360-242-0002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ ADAM ELWIR ” Practice Location

Language	Start Address	Practice Location

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