Individual
EDWARD M ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5703
Mailing address
3921 ANDERSON AVE SE, ALBUQUERQUE, NM 87108-4306
(505) 265-1711
(505) 256-5703
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
85-PA010
NM
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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