Individual
MR. PAUL GREGORY ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4809 REDMAN AVE, OMAHA, NE 68104-1842
(402) 455-5025
Mailing address
4855 S 126TH ST, OMAHA, NE 68137-2047
(402) 216-4895
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
353
NE
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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