BERT CLAIR ELIASON

GALLUP, NM
NPI1174513113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036099778)
Enumeration Date2005-10-21
Last Update Date2023-03-07
Business Address
Dr. BERT CLAIR ELIASON M.D.
516 E. NIZHONI BLVD.
GALLUP, NM 87301-1337
Phone number: 505-722-1000
Mailing Address
Dr. BERT CLAIR ELIASON M.D.
4185 LEIGH LANE
ALTA, WY 83414
Phone number: 801-471-8894