Individual
JON ANDREW ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1031 W HIGH AVE, NEW PHILADELPHIA, OH 44663-2071
(330) 365-5100
Mailing address
1031 W HIGH AVE, NEW PHILADELPHIA, OH 44663-2071
(330) 365-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.060081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0851350
—
OH
Enumeration date
09/05/2006
Last updated
02/11/2011
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