Elrod, Darryl G

Elrod, Darryl G is an individual health care provider with primary practice located at 1301 W Parks Hwy Ste 101 , Wasilla AK 99654-6939. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Elrod, Darryl G can be contacted via phone (907) 357-7781.

Contact Information

Primary practice address
1301 W Parks Hwy Ste 101 Wasilla AK 99654-6939
Phone: (907) 357-7781
Fax: (907) 745-6573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 6184 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MEDS6184 Alaska

Profile Details

NPI number 1194712810
LBN Legal business name Elrod, Darryl G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194712810 NPPES
Alaska MEDICAID 1016699

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