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Individual
DR. C.G. ELLIOTT FOUCAR
Active
Individual
DR. C.G. ELLIOTT FOUCAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
74-29
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
74-29
NM
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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