Individual provider · Type 1 NPI

Elliott Breon Jiles, MD

Student in an Organized Health Care Education/Training Program · Buffalo, NY

NPI number 1780079798 Active

Practice location

100 High St
Buffalo, NY 14203-1126

Mailing address

2041 Georgia Ave NW
Washington, DC 20059-0001

Specialties and licenses

TaxonomyCodeLicense
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 1780079798

Elliott Breon Jiles, MD's National Provider Identifier is 1780079798, issued on Apr 6, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on Jun 24, 2016.