Individual
WILLIAM J ELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632-2315
(360) 501-8315
(360) 425-7219
Mailing address
PO BOX 3012, LONGVIEW, WA 98632
(360) 425-5620
(360) 425-7219
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
9688
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
9688
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8112906
—
WA
Enumeration date
07/12/2006
Last updated
11/04/2016
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