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Individual

ELIAS A CASTILLA

Active
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Individual

ELIAS A CASTILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35083219
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200225190A
IN
05
200396240A
IN
05
200396240C
IN
05
200396240D
IN
05
200396240E
IN
05
2517995
OH
05
64098429
KY
Enumeration date
11/30/2005
Last updated
06/10/2010
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