Individual
JAMES D. ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
264 WHISPER RDG, PRESCOTT, AZ 86301-4210
(928) 925-2463
Mailing address
PO BOX 2032, PRESCOTT, AZ 86302-2032
(928) 443-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23649
AZ
Other
Enumeration date
07/18/2006
Last updated
12/11/2019
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