Jimmy H Elam, OD

NPI #1194718379 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1194718379
Entity Type: Individual
Name: Jimmy H Elam, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 24, 2005
Last Updated: Dec 13, 2011

Practice Location

Address: 2511 N WESTWOOD BLVD
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-2338
Phone: (573) 686-5866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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