Individual provider · Type 1 NPI

Elisha Marie Jayarao, PA-C

Surgical Physician Assistant · Columbia, MO

NPI number 1073757225 Active

Practice location

1 Hospital Dr
Columbia, MO 65201-5276

Call (573) 882-4909 Map

Mailing address

PO Box 7687
Columbia, MO 65205-7687

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XAP2174 (MA)
Surgical Physician Assistant 363AS0400X2011017515 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1073757225

Elisha Marie Jayarao, PA-C's National Provider Identifier is 1073757225, issued on Apr 30, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, MO. The record was last updated on Dec 29, 2011.