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NPI Code Detail

MEDICARE: DAVID R ELKINS PA

MEDICARE:   DAVID R ELKINS  PA
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
1363A00000XPhysician Assistant10000255AIN
2363AM0700XMedical Physician AssistantPA61470036WA

General Provider Information

NPI Number : 1235137571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID R ELKINS PA
Provider Business Mailing Address
First Line : PO BOX 5299
Second Line : MS: 820-5-PCO
City : TACOMA
State : WA
Zip : 98415-0299
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 MCPHEE RD SW BLDG 1
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-5080
Country : US
Telephone Number : 360-596-4614
Fax Number : 360-596-4615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 03/12/2024

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Directions to “ DAVID R ELKINS PA” Practice Location

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