Individual provider · Type 1 NPI

Erin Elizabeth Ely, MD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1003133653 Active

Practice location

1300 Clark Ave
St. Louis, MO 63103-2718

Call (314) 622-4971 Map

Fax (314) 977-7615

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X2016011683 (MO)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003133653

Erin Elizabeth Ely, MD's National Provider Identifier is 1003133653, issued on Apr 22, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 18, 2021.