Alvin B. Elisco, MD PC

Organization Active NPI Internal Medicine Physician · Scottsdale, AZ

NPI 1487794657 · NPPES record last updated Mar 24, 2008

Key facts

NPI
1487794657
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
14146 (AZ)
Legal business name
ALVIN B. ELISCO, MD PC
Practice address
4921 E Bell Rd
Suite 205
Scottsdale, AZ 85254-6002
Phone
(602) 765-4499
Fax
(602) 765-0405
NPI assigned
Feb 7, 2007
Organization subpart
No

Authorized official

Name
Alvin Bruce Elisco, MD
Title
President
Phone
(602) 765-4499

National Provider Directory

Locations

6501 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 368-7893

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 14146 AZ Yes

Addresses

Primary practice location

4921 E Bell Rd
Suite 205
Scottsdale, AZ 85254-6002

Mailing address

6501 E Greenway Pkwy
Suite 103-611
Scottsdale, AZ 85254-2065
Phone (602) 765-4499

Other providers in Scottsdale, AZ

All providers in Scottsdale, AZ · Internal Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.