Doctor Name: | ELDON G PALMER |
NPI Number: | 1659427086 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 7219 N Litchfield Rd Luke Afb, AZ - 853091529 |
Business Phone Number: | 6238567982 |
Business Fax Number: | |
Mailing Address: | 7219 N Litchfield Rd, LUKE AFB |
State: | AZ |
Postal Code: | 853091529 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 09/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |