Individual
MICHAEL DAVID ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
115 WOODBINE LN, DANVILLE, PA 17821-9118
(570) 271-6700
Mailing address
115 WOODBINE LN, DANVILLE, PA 17821-9118
(570) 271-6700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002329A
PA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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