Individual
DR. GERALD G ELSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
3105 NE 11TH ST, SUITE 3, BENTONVILLE, AR 72712-9102
(479) 254-1177
(479) 254-1193
Mailing address
3105 NE 11TH ST, SUITE 3, BENTONVILLE, AR 72712-9102
(479) 254-1177
(479) 254-1193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7588
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X248
BCBS PROVIDER ID#
AR
Enumeration date
06/10/2006
Last updated
07/08/2007
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