Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ITORO ELIJAH
ActiveITORO ELIJAH is a General Practice healthcare provider located in LAVEEN, Arizona. NPI 1568667947 is currently active in the NPPES registry. Verify at CMS.
General Practice · LAVEEN, AZ
Registration Details
- NPI Number
- 1568667947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2007 (19.166361275342 yrs)
- Last Updated
- Mar 7, 2015
- License
-
46474 (AZ)
Practice Information
- Address
-
5130 W BASELINE RDLAVEEN, AZ, 853392984Browse AZ providers · Browse ZIP 85339
- Phone
- 6022377373
- Primary Specialty
-
General Practice
208D00000X
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.