Philip B Elledge, DMD Valid NPI

Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · Huntsville, AL

NPI

1437114246

Type

Individual (Type 1)

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

5313C (AL)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-18

Last updated

2007-08-15