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Organization
GARY W. ELAM, MD, PA
Active
Organization
GARY W. ELAM, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WAYNE ELAM M.D. (OWNER)
(432) 337-4321
Entity
Organization
Contact information
Practice address
520 N WASHINGTON AVE, ODESSA, TX 79761-4435
(432) 337-4321
Mailing address
520 N WASHINGTON AVE, ODESSA, TX 79761-4435
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
07/16/2007
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