Itoro Elijah

NPI #1568667947 in Laveen, Arizona

Provider Information

NPI Number: 1568667947
Entity Type: Individual
Name: Itoro Elijah
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Enumeration Date: Jun 18, 2007
Last Updated: Mar 7, 2015

Practice Location

Address: 5130 W BASELINE RD
City: Laveen
State: Arizona
ZIP Code: 85339-2984
Phone: (602) 237-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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