JIMMY ELAM, OD
Optometrist
Active
Individual
NPI: 1194718379
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2189 (MO) |
Frequently Asked Questions
NPI 1194718379 is the National Provider Identifier for JIMMY ELAM, OD, a Optometrist provider located in Poplar Bluff, MO. This NPI was enumerated on August 24, 2005.
JIMMY ELAM, OD practices at 2511 N WESTWOOD BLVD, Poplar Bluff, MO 63901.
Quick Facts
- NPI
- 1194718379
- Type
- Individual
- Enumerated
- Aug 24, 2005
- Last Updated
- Dec 13, 2011
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