Scott E Elrod Md Pllc | |
125 Bank St Suite 310 Missoula MT 59802-4407 | |
(406) 549-7325 | |
(406) 549-7559 |
Full Name | Scott E Elrod Md Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 125 Bank St, Missoula, Montana |
Authorized Official Name and Position | Scott Eugene Elrod (OWNER) |
Authorized Official Contact | 4065497325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Scott E Elrod Md Pllc 125 Bank St Suite 310 Missoula MT 59802-4413 Ph: (406) 549-7325 | Scott E Elrod Md Pllc 125 Bank St Suite 310 Missoula MT 59802-4407 Ph: (406) 549-7325 |
NPI Number | 1659640290 |
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Provider Enumeration Date | 12/28/2011 |
Last Update Date | 12/28/2011 |
Medicare PECOS PAC ID | 8022271618 |
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Medicare Enrollment ID | O20120517000572 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659640290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 6875 (Montana) | Primary |
Provider Name | Scott E Elrod |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336155159 PECOS PAC ID: 7618161811 Enrollment ID: I20101102000309 |
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