MEDICARE: DR. WILLIAM PAUL ELSASS M.D.

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	2084P0804X	Child & Adolescent Psychiatry Physician	022443	LA
2	2084P0800X	Psychiatry Physician	022443	LA

General Provider Information

NPI Number	:	1194799932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM PAUL ELSASS M.D.

Provider Business Mailing Address
First Line	:	715 HORIZON DR STE 225
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8743
Country	:	US
Telephone Number	:	970-241-6023
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 28 3/4 RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-5016
Country	:	US
Telephone Number	:	970-241-6023
Fax Number	:

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	03/11/2021

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