Individual
BROOKE ELZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-3899
Mailing address
6821 N COUNTY ROAD 300 W, LIZTON, IN 46149-9462
(317) 446-9080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1201006
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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