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NPI Code Detail

MEDICARE: ELLIOT WELDER MD

MEDICARE: ELLIOT WELDER MD
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
1207P00000XEmergency Medicine Physician58628AZ
2207P00000XEmergency Medicine PhysicianMED-PHYS-LIC-13550MT

General Provider Information

NPI Number : 1396107827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLIOT WELDER MD
Provider Business Mailing Address
First Line : 901 RANCHO LN STE 135
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3826
Country : US
Telephone Number : 702-383-7885
Fax Number :
Provider Business Practice Location Address
First Line : 1111 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2612
Country : US
Telephone Number : 480-500-2540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 01/21/2026

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