Individual
SARAH R ELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 472-7317
(317) 870-0499
Mailing address
950 N MERIDIAN ST, STE 500 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46204-3908
(317) 963-0860
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000807A
IN
363AM0700X
Medical Physician Assistant
PA10005238
WA
Other
Enumeration date
08/01/2006
Last updated
08/27/2013
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