Individual
ANDREW R ELLIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28329
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753094867001
ROCKY MTN HMO
CO
01
—
75309486701
PACIFICARE
CO
01
—
E53734
FEDERAL BLUE CROSS
—
01
—
EL8243
BLUE SHIELD
CO
Enumeration date
09/16/2006
Last updated
10/22/2007
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