Individual provider · NPI-1

Thomas Joseph Elton, M.D.

Family Medicine · Eagle River, AK

NPI number1356313266
StatusActive
Last updated in NPPESOct 10, 2007

Details

NPI
1356313266
Entity type
Individual (NPI-1)
Name
Thomas Joseph Elton
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 3, 2006
Last updated
Oct 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4482AKYes

Practice location

11823 Old Glenn Hwy
Ste. 104
Eagle River, AK 99577-7734

Phone 907-696-2273

Mailing address

11823 Old Glenn Hwy
Ste. 104
Eagle River, AK 99577-7734

Phone 907-696-2273

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