Dr. Erin Elizabeth Ely, M.D.
Student in an Organized Health Care Education/Training Program in Saint Louis, MO. Individual provider (NPI-1).
NPI number1003133653
StatusActive
Last updated in NPPESFeb 18, 2021
Details
- NPI
- 1003133653
- Entity type
- Individual (NPI-1)
- Name
- Dr. Erin Elizabeth Ely
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2010
- Certification date
- Feb 18, 2021
- Last updated
- Feb 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 2016011683 | MO |
Practice location
1300 Clark AveSaint Louis, MO 63103-2718
Phone 314-622-4971 · Fax 314-977-7615
Mailing address
1300 Clark AveSaint Louis, MO 63103-2718
Phone 314-622-4971 · Fax 314-977-7615
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