Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1619974581 |
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| LBN Legal business name | ELDERBERRY HEALTH PLLC | ||||||||||||
| Authorized official | PETER LITCHFIELD - (PHYSICIAN) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 07/07/2005 | ||||||||||||
| Last updated | 11/06/2025 - About 7 months ago | ||||||||||||
| Identifiers |
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