Doctor Name: | ELRAH F GFELLER |
NPI Number: | 1003090614 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA910 |
Business Practice Address: | 2285 E Flamingo Rd #105 Las Vegas, NV - 891195100 |
Business Phone Number: | 7028628226 |
Business Fax Number: | 7028628227 |
Mailing Address: | Po Box 98978, LAS VEGAS |
State: | NV |
Postal Code: | 891938978 |
Phone Number: | 7022163346 |
Fax Number: | 7026716883 |
NPI Enumeration Date: | 12/19/2007 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |