Individual
DR. ELIAS J. PTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-4809
(702) 777-4822
Mailing address
1801 W OLYMPIC BLVD # 2265, PASADENA, CA 91199-0001
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
20A9728
CA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO1666
NV
207Q00000X
Family Medicine Physician
20A9728
CA
207Q00000X
Family Medicine Physician
DO1666
NV
Other
Enumeration date
06/24/2008
Last updated
10/28/2020
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