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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELIJAH MICHAEL POULOS, MD

Active

DR. ELIJAH MICHAEL POULOS, MD is a Critical Care Medicine healthcare provider located in PRESCOTT, Arizona. NPI 1386871325 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · PRESCOTT, AZ

Registration Details

NPI Number
1386871325
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2009 (17.175678790608 yrs)
Last Updated
Aug 20, 2024
Licenses
R71506 (AZ)
46193 (AZ)
46193 (AZ)

Practice Information

Address
1003 WILLOW CREEK RD
PRESCOTT, AZ, 863011641
Browse AZ providers · Browse ZIP 86301
Phone
9287730003
Fax
9287731170
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Pulmonary Disease
Additional Specialty
Critical Care Medicine

Other Critical Care Medicine Providers in PRESCOTT, AZ

Name Credential NPI
DOUGLAS W MAPEL MD 1497730451
CHRISTOPHER H MURPHY M.D. 1013985902
DR. JENNIFER ELIZABETH HALL D.O. 1417022559
DR. LISA ANN GRAHAM M.D. 1386955623
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.