Individual
DR. BRUCE R ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7980 STATE ROUTE 12, BARNEVELD, NY 13304-2536
(315) 624-8440
(315) 624-8450
Mailing address
7980 STATE ROUTE 12, BARNEVELD, NY 13304-2536
(315) 624-8440
(315) 624-8450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
186462-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352818
—
NY
Enumeration date
10/21/2005
Last updated
04/13/2015
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