Individual
DR. CAROL JEAN ELNICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-5351
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56924
AZ
208D00000X
General Practice Physician
01051127A
IN
Other
Enumeration date
09/17/2006
Last updated
03/19/2019
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