Individual
MR. GARRETT NMI ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1703 N BUERKLE ST, STUTTGART, AR 72160-3153
(870) 673-3511
(870) 672-6869
Mailing address
1703 N BUERKLE ST, STUTTGART, AR 72160-3153
(870) 673-3511
(870) 672-6869
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36545
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115525003
—
AR
01
—
R3929
LIC
AR
Enumeration date
07/01/2006
Last updated
06/13/2023
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