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NPI Code Detail

MEDICARE: DARIN J ELO MD

MEDICARE:   DARIN J ELO  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 Physician428284KS

General Provider Information

NPI Number : 1750343752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIN J ELO MD
Provider Business Mailing Address
First Line : 3511 CLINTON PL
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-2196
Country : US
Telephone Number : 785-838-1500
Fax Number : 785-838-1540
Provider Business Practice Location Address
First Line : 3511 CLINTON PL
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-2196
Country : US
Telephone Number : 785-838-1500
Fax Number : 785-838-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 05/03/2012

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