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NPI Verification

National Provider Identifier: 1174513113

Bert Clair Eliason, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

4185 LEIGH LANE

ALTA, WY 83414

Phone: 801-471-8894

NPI Enumeration Date

October 21, 2005

NPI Number

1174513113

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Bert Eliason, M.d. - NPI 1174513113 | Provider Verification | HormoneMap