Organization
GARY W. ELAM, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WAYNE ELAM M.D. (OWNER)
(432) 337-4321
Entity
Organization
Contact information
Practice address
520 N WASHINGTON AVE, ODESSA, TX 79761-4435
(432) 337-4321
Mailing address
520 N WASHINGTON AVE, ODESSA, TX 79761-4435
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
07/16/2007
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