person
Mr. Elijah Telfare, PA
Surgical Physician Assistant in Olympia, Washington
NPI 1124144431

Elijah Telfare is a Surgical Physician Assistant based in Olympia, WA and is specialized in Surgical. Elijah Telfare practices in Olympia, WA and has the professional credentials of PA. The NPI Number for Elijah Telfare is 1124144431 and holds a License No. PA10002241 (Washington).

The current practice location address for Elijah Telfare is 500 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-491-4211 and via fax at 360-493-0407.

Location: 500 Lilly Rd Ne, Olympia, WA, 98507-0368
person
Provider Profile Details
NPI Number
1124144431
Provider Name
Elijah Telfare
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
500 Lilly Rd Ne, Olympia, WA, 98507-0368
Phone Number
360-491-4211
Fax Number
360-493-0407
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7066269 05 WA
institution
Provider Business Practice Location Address Details
Address
500 Lilly Rd Ne
City
State
Zip
98506-5195
Phone Number
360-491-4211
Fax Number
360-493-0407
person
Provider Business Mailing Address Details
Address
500 Lilly Rd Ne
City
State
Zip
98506-5195
Phone Number
360-491-4211
Fax Number
360-493-0407
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA10002241 (Pennsylvania)
Definition
Definition to come...
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