Elisa Boma Garcia
Psychiatry & Neurology, Neurology in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1700831781
StatusActive
Last updated in NPPESJun 30, 2008
Details
- NPI
- 1700831781
- Entity type
- Individual (NPI-1)
- Name
- Elisa Boma Garcia
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Last updated
- Jun 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 20007 | KY | Yes |
| 174400000X | Specialist | 20007 | KY |
Practice location
1237 Woodland DrElizabethtown, KY 42701-2709
Phone 270-769-6875 · Fax 270-737-9696
Mailing address
1237 Woodland DrElizabethtown, KY 42701-2709
Phone 270-769-6875 · Fax 270-737-9696
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Other Neurology Physician providers in Elizabethtown, KY
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- Noel Z RelojNPI 1295735181
All 6 Neurology Physician providers in Elizabethtown · All 2,301 providers in Elizabethtown
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