Doctor Name: | PAMELA G ELSHERE |
NPI Number: | 1861415127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | 0567 |
Business Practice Address: | 725 E Figzel Ct Suite 100 Tea, SD - 570642276 |
Business Phone Number: | 6053689899 |
Business Fax Number: | 6053685089 |
Mailing Address: | Po Box 86430, SIOUX FALLS |
State: | SD |
Postal Code: | 571186430 |
Phone Number: | 6053224900 |
Fax Number: | 6053224910 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |