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Individual
JOHN L ELFERVIG
Active
Individual
JOHN L ELFERVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
14866
MS
207W00000X
Ophthalmology Physician
MD009929
TN
207W00000X
Ophthalmology Physician
R4424
AR
207WX0107X
Retina Specialist (Ophthalmology) Physician
14866
MS
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
9929
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
R4424
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115592
—
MS
05
—
107447001
—
AR
01
—
180024050
PALMETTO RR MEDICARE
TN
05
—
202004503
—
MO
05
—
3190249
—
TN
01
—
P00658339
PALMETTO RR MEDICARE
MS
Enumeration date
06/14/2006
Last updated
01/15/2018
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