BRIAN DALE ELZA

GALLUP, NM
NPI1548238801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MD  20290)
Enumeration Date2006-03-10
Last Update Date2007-07-08
Business Address
-- BRIAN DALE ELZA PT
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- BRIAN DALE ELZA PT
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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