Individual
SAMUEL ELZAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 N TAYLOR ST, GUNNISON, CO 81230-2296
(970) 641-1456
Mailing address
130 E VIRGINIA AVE, GUNNISON, CO 81230-2246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA0009034
CO
363A00000X
Physician Assistant
1502640
KS
363A00000X
Physician Assistant
Primary
PA.0008934
CO
Other
Enumeration date
01/10/2017
Last updated
07/25/2025
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