Individual
DAVID GRAY ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
505 W. 3RD AVENUE, NOME, AK 99762
(907) 443-5259
(907) 443-2990
Mailing address
PO BOX 98, NOME, AK 99762-0098
(907) 443-5259
(907) 443-2990
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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