Individual
BRUCE C ELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24492
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045268
BCBS
KS
05
—
100142590A
—
KS
01
—
12149514
MULTIPLAN
KS
01
—
16889
COVENTRY
KS
01
—
200113
HPK
KS
01
—
2780
PHS
KS
Enumeration date
06/27/2006
Last updated
05/16/2014
Update your record
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