Organization
ELIE ELOVIC MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIE ELOVIC MD (OWNER)
(801) 565-6739
Entity
Organization
Contact information
Practice address
8074 S 1300 E, SANDY, UT 84094-0743
(801) 565-6739
(801) 942-0607
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7277536-1205
UT
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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