Individual
DR. JEFFREY R. ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 EAST PARK AVENUE, STATE COLLEGE, PA 16803
(814) 278-4851
(814) 231-7138
Mailing address
1800 EAST PARK AVENUE, STATE COLLEGE, PA 16803
(814) 278-4851
(814) 231-7138
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS-010510-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000561357
BLUE CROSS
PA
05
—
0018035480003
—
PA
Enumeration date
08/09/2006
Last updated
11/14/2013
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