Evan B Eller Md Plc

LBN: Evan B Eller Md Plc
Evan B Eller Md Plc is an health care organization with primary practice located at 300 W Clarendon Ave Suite 142, Phoenix AZ 85013-3449. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Evan B Eller Md Plc can be contacted via phone (602) 234-1803, or through Eller, Evan B via phone (602) 234-1803.

Contact Information

Primary practice address
300 W Clarendon Ave Suite 142 Phoenix AZ 85013-3449
Phone: (602) 234-1803
Fax: (602) 234-3748
Website:
Map and Directions
Authorized official contact:
Name: Eller, Evan B Doctor of Medicine (MD)
Phone: (602) 234-1803

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1477505469
LBN Legal business name Evan B Eller Md Plc
DBA Doing business as
Authorized official Eller, Evan B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Mar 4th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477505469 NPPES
Arizona Other DA9625 RAILROAD MEDICARE

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