Individual
MICHAEL D ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4317 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1720
(405) 755-6240
Mailing address
PO BOX 5733, EDMOND, OK 73083-5733
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14210
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106980A
—
OK
Enumeration date
06/15/2006
Last updated
07/12/2011
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