MR. Charles Reginald Elam IV

NPI #1184927634 in Denison, Iowa

Provider Information

NPI Number
1184927634
Entity Type
Individual
Name
MR. Charles Reginald Elam IV
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 6, 2010
Last Updated
Nov 2, 2016

Practice Location

Address
100 MEDICAL PKWY
State
Iowa
ZIP Code
51442-2607
Phone
(712) 265-2683

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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Organizations

Provider Name
Crawford County Memorial Hospital

Part of Crawford County Memorial Hospital

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