Search › Missouri › 152W00000X
Jimmy Elam, OD
NPI 1194718379 · on the registry since 2005
Practice
- Address
- 2511 N Westwood Blvd
Poplar Bluff, MO 63901 - Phone
- (573) 686-5866
- Fax
- (618) 997-6250
- Organisation at this address
- Marion Eye Centers, Ltd.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri