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Individual

ABDALLA L ELIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
109 CIRCLE DR, WEST MONROE, LA 71291-5303
(318) 323-1834
(318) 323-0376
Mailing address
109 CIRCLE DR, WEST MONROE, LA 71291-5303
(318) 323-1834
(318) 323-0376

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
010324
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1187291
LA
Enumeration date
08/02/2005
Last updated
12/04/2013
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