Organization
BRIAN M ELIAS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M ELIAS DPM (PODIATRIST OWNER)
(814) 375-8882
Entity
Organization
Contact information
Practice address
90 BEAVER DR BLDG E, DU BOIS, PA 15801-2440
(814) 375-8882
(814) 375-1159
Mailing address
PO BOX 315, DU BOIS, PA 15801-0315
(814) 375-8882
(814) 375-1159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004352L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308924
UPMC
PA
01
—
39998
GEISINGER
PA
01
—
DF7396
TRAVELER'S MEDICARE
PA
Enumeration date
01/04/2007
Last updated
01/18/2008
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