ELIJAH MICHAEL POULOS

PRESCOTT, AZ
NPI1386871325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: AZ  46193)
Additional Taxonomies207R00000X Internal Medicine
(Licence: AZ  R71506)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: AZ  46193)
Enumeration Date2009-06-17
Last Update Date2024-08-20
Business Address
Dr. ELIJAH MICHAEL POULOS MD
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301-1641
Phone number: 928-773-0003
Mailing Address
Dr. ELIJAH MICHAEL POULOS MD
PO BOX 967
FLAGSTAFF, AZ 86002-0967
Phone number: 928-773-0003