Individual
ALLEN DEVANEY ELSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
30330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191587000
—
WV
01
—
30659
BCBS
—
01
—
4353
PARTNERS
—
01
—
4665716
AETNA
—
01
—
51396
MEDCOST
—
05
—
7230231
—
VA
05
—
8930659
—
NC
05
—
Q30330
—
SC
Enumeration date
12/07/2005
Last updated
10/08/2010
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