ITORO ELIJAH NPI 1568667947

NPI Information

Itoro Elijah is a general practice in Laveen, AZ with 18 years of experience. Itoro Elijah NPI is 1568667947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

5130 W BASELINE RD
LAVEEN, AZ
ZIP 85339-984
Phone: (602) 237-7373

The NPI 1568667947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 3/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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