Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Medical Specialty |
261QM2500X |
| NPI Number | 1134076797 |
| LBN Legal business name | ELIM DPC PLLC |
| Authorized official | JESSICA DEVAULT - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/12/2026 |
| Last updated | 03/12/2026 - About 3 months ago |
| Identifiers | n/a |
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ELIM DPC PLLC
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