Individual
ELIAS N NASR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 CALLE PORTAL, SUITE 400, SIERRA VISTA, AZ 85635-2900
(520) 458-0229
(520) 458-1038
Mailing address
302 EL CAMINO REAL, STE 5, SIERRA VISTA, AZ 85635-2860
(520) 458-4335
(520) 452-2232
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36124
AZ
2086X0206X
Surgical Oncology Physician
36124
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159997
—
AZ
Enumeration date
11/21/2006
Last updated
10/01/2010
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