Individual
MR. PHILIP A ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 S WILLOW AVE, COOKEVILLE, TN 38501-3138
(931) 526-9518
(931) 372-0087
Mailing address
105 S WILLOW AVE, COOKEVILLE, TN 38501-3138
(931) 526-9518
(931) 372-0087
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19341
MS
207X00000X
Orthopaedic Surgery Physician
Primary
44382
TN
Other
Enumeration date
07/05/2006
Last updated
05/14/2012
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