Individual
DR. DAVID ARNOLD ELLBOGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 S POPLAR ST, SUITE 1, CASPER, WY 82601-4557
(307) 473-1427
(307) 472-1434
Mailing address
1720 S POPLAR ST, SUITE 1, CASPER, WY 82601-4557
(307) 473-1427
(307) 472-1434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5130A
WY
Other
Enumeration date
09/14/2006
Last updated
07/09/2007
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